DEANA WALLACE

SKOKIE, IL
NPI1932361888
Former NameDEANA SCHMIDT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-016444)
Enumeration Date2008-07-01
Last Update Date2010-12-23
Business Address
DEANA WALLACE DPT
4607 GOLF RD
SKOKIE, IL 60076-1209
Phone number: 847-673-5073
Mailing Address
DEANA WALLACE DPT
4607 GOLF RD
SKOKIE, IL 60076-1209
Phone number: 847-673-5073
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