Individual
JANE LOIS DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
665 W. JACKSON, WOODSTOCK, IL 60098-3187
(815) 334-8850
(815) 334-8853
Mailing address
665 W. JACKSON, WOODSTOCK, IL 60098-3187
(815) 334-8850
(815) 334-8853
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070-003243
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482668261001
—
IL
Enumeration date
10/27/2009
Last updated
10/27/2009
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