Individual
IMELDA CARMELA BUENO GURDIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
201 W HAMPTON DR, ROUND LAKE, IL 60073-5652
(847) 740-5997
Mailing address
201 W HAMPTON DR, ROUND LAKE, IL 60073-5652
(847) 740-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.013837
IL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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