MOLLIE BASIC

ORLAND PARK, IL
NPI1306132345
Former NameMOLLIE KIMMEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2011-06-28
Last Update Date2012-11-09
Business Address
-- MOLLIE BASIC DPT
15127 S LA GRANGE RD
ORLAND PARK, IL 60462-3708
Phone number: 708-403-4497
Mailing Address
-- MOLLIE BASIC DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: