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Individual

DEANE HESWALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1919 SKOKIE VALLEY RD, HIGHLAND PARK, IL 60035-2361
(224) 765-5550
(224) 765-5551
Mailing address
900 RAND RD, SUITE 300, DES PLAINES, IL 60016-2359
(847) 324-3976

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-009098
IL

Other

Enumeration date
05/27/2006
Last updated
12/09/2014
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