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Individual

DINAH BONDOC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1120 HOUBOLT RD, JOLIET, IL 60431-9063
(815) 741-2499
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014342
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01048562
MEDICARE RAILROAD
IL
Enumeration date
09/13/2006
Last updated
08/03/2012
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