Individual
RICHARD E SROKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
533 W NORTH AVE, SUITE 202, ELMHURST, IL 60126-2135
(630) 832-6919
(630) 832-6928
Mailing address
533 W NORTH AVE, SUITE 202, ELMHURST, IL 60126-2135
(630) 832-6919
(630) 832-6928
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070-011910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
396730
MEDICARE GROUP NUMBER
IL
01
—
396740
MEDICARE GROUP NUMBER
IL
Enumeration date
12/07/2005
Last updated
06/05/2012
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