Individual
DIANE FORNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2156 DEEP WATER LANE, NAPERVILLE, IL 60564
(630) 904-5641
(630) 904-5661
Mailing address
2560 SPRINGDALE CIRCLE, NAPERVILLE, IL 60564
(630) 778-8933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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