MARY J CHACKO

CHICAGO, IL
NPI1831210210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  70015223)
Additional Taxonomies225100000X Physical Therapist
(Licence: CA  25159)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
Miss MARY J CHACKO
944 N HONORE ST
CHICAGO, IL 60622-7133
Phone number: 909-609-9366
Mailing Address
Miss MARY J CHACKO
1014 S LAUREL ST
WICHITA, KS 67207-3739
Phone number: 909-609-9366