MARY VIANELLE LICHAUCO

SKOKIE, IL
NPI1225805070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.026346)
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
Miss MARY VIANELLE LICHAUCO PT
9933 LAWLER AVE STE 105
SKOKIE, IL 60077-3753
Phone number: 224-278-1088
Mailing Address
Miss MARY VIANELLE LICHAUCO PT
9933 LAWLER AVE STE 105
SKOKIE, IL 60077-3753
Phone number: 224-278-1088