HERBERT DEITERS

HOMER GLEN, IL
NPI1992916605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070015746)
Enumeration Date2007-05-24
Last Update Date2012-09-14
Business Address
-- HERBERT DEITERS PT
15750 MARIAN DR
HOMER GLEN, IL 60491-6200
Phone number: 708-645-3400
Mailing Address
-- HERBERT DEITERS PT
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888