Individual
DINA HEIJSELAAR-KILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5587 BROADWAY, MERRILLVILLE, IN 46410-2695
(219) 887-9021
(219) 887-9022
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005302A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01300084
RAILROAD MEDICARE
IN
Enumeration date
07/28/2006
Last updated
10/23/2014
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