Grace M Tucker PT

NPI 1386863827 - Physical Therapist - 225100000X

NPI Details
NPI 1386863827
Gender Female
Enumeration Date 04/24/2007
Last Updated 03/12/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
554 GREEN BAY RD STE B
KENILWORTH IL, 60043-1086, US
Phone (847) 256-3500
Fax (847) 256-3513
Business Location
205 W WACKER DR
SUITE 1020
CHICAGO IL, 60606-1216, US
Phone (312) 640-0329
Fax
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070009825
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According to our database, Grace M Tucker PT NPI is 1386863827, taxonomy code is 225100000X and license number is 070009825, license state is located at Illinois. Grace M Tucker PT physically located at 554 Green Bay Rd Ste B, Kenilworth IL, 60043-1086. NPI Number Grace M Tucker PT has the Individual type.

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1386863827 NPI number is provided on an as is basis without warranty of any kind. 1386863827 is maintained by the National Plan & Provider Enumeration System. The contents of Grace M Tucker PT are for informational purposes only.