Individual
MRS. ALISA MARIE DULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1405 HUNT CLUB, GURNEE, IL 60031
(847) 855-2890
Mailing address
454 SIERRA PLACE, GURNEE, IL 60031
(847) 223-1556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
70011914
IL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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