Individual
IVANA DVORAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 MIDDLETON DR, WHEATON, IL 60189-8152
(630) 518-1816
Mailing address
2031 MIDDLETON DR, WHEATON, IL 60189-8152
(630) 518-1861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001177
IL
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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