GENER TIGLAO DIZON

CHICAGO, IL
NPI1659482495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070011449)
Additional Taxonomies2251P0200X Physical Therapist, Pediatrics
(Licence: IL  070011449)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- GENER TIGLAO DIZON PT
5820 W IRVING PARK RD
CHICAGO, IL 60634
Phone number: 773-685-8482
Mailing Address
-- GENER TIGLAO DIZON PT
2201 N NATCHEZ AVE
CHICAGO, IL 60707
Phone number: 773-637-4186