RICHARD DEIBEL

CRYSTAL LAKE, IL
NPI1376784967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.005347)
Enumeration Date2009-03-12
Last Update Date2009-03-12
Business Address
-- RICHARD DEIBEL PT
540 E TERRA COTTA AVE SUITE G
CRYSTAL LAKE, IL 60014-3652
Phone number: 815-477-8004
Mailing Address
-- RICHARD DEIBEL PT
243 MIDLANE DRIVE
CRYSTAL LAKE, IL 60012
Phone number: