Individual
MRS. THAMARA DAYMIEL FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
444 N WELLS ST STE 304, CHICAGO, IL 60654-4593
(312) 494-9936
Mailing address
1531 N 23RD AVE, MELROSE PARK, IL 60160-1805
(708) 681-6334
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070009886
IL
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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