Individual
MISS NANCY ANN KALYVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2940 W 87TH ST, CHICAGO, IL 60652-3832
(177) 343-4878
Mailing address
2940 W 87TH ST, CHICAGO, IL 60652-3832
(177) 343-4878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004970
IL
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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