Individual
DAYZA MALIBIRAN LULUQUISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
600 DUNHAM RD, ST CHARLES, IL 60174-7885
(630) 587-6120
Mailing address
2063 POINTE BLVD, AURORA, IL 60504-7562
(630) 340-0595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L070014097
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900327572
UNITED HEALTH CARE
IL
Enumeration date
08/07/2020
Last updated
08/07/2020
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