JENIFER CARLOS DE LARA

EVANSTON, IL
NPI1255654950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: IL  070-009035)
Enumeration Date2010-03-09
Last Update Date2010-03-09
Business Address
-- JENIFER CARLOS DE LARA PT
1415 SHERMAN AVE APT. 605
EVANSTON, IL 60201-4453
Phone number: 773-817-2522
Mailing Address
-- JENIFER CARLOS DE LARA PT
1415 SHERMAN AVENUE #605
EVANSTON, IL 60201
Phone number: 773-817-2522
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