LESLIE IVY

CHICAGO, IL
NPI1558707000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160006365)
Enumeration Date2013-05-10
Last Update Date2013-05-10
Business Address
-- LESLIE IVY
12215 SOUTH LASALLE ST.
CHICAGO, IL 60628-9021
Phone number: 773-443-2770
Mailing Address
-- LESLIE IVY
12215 SOUTH LASALLE ST.
CHICAGO, IL 60628-9021
Phone number: 773-443-2770
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