JONELLA RENEE BLACK

EVANSTON, IL
NPI1215252036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251N0400X Physical Therapist, Neurology
(Licence: IL  070005649)
Enumeration Date2010-04-05
Last Update Date2010-04-05
Business Address
Mrs. JONELLA RENEE BLACK PT
1000 CENTRAL ST SUITE 101
EVANSTON, IL 60201-1777
Phone number: 847-570-1260
Mailing Address
Mrs. JONELLA RENEE BLACK PT
1503 MADISON STREET
EVANSTON, IL 60202
Phone number: 847-864-5740
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