LISA L EDGERLY

SKOKIE, IL
NPI1841586807
Former NameLISA HUA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070018633)
Enumeration Date2011-06-28
Last Update Date2016-05-13
Business Address
-- LISA L EDGERLY DPT
4730 DEMPSTER ST
SKOKIE, IL 60076-2045
Phone number: 224-534-2280
Mailing Address
-- LISA L EDGERLY DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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