Individual
MR. JOEL C DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9669 KENTON AVE, SKOKIE, IL 60076-1266
(847) 933-3810
Mailing address
1821 GRANT ST, EVANSTON, IL 60201-2534
(847) 492-8107
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.008745
IL
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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