Most Relevant Information
Provider Data
NPI Number: | 1003064015 |
Provider Name: | CAROK ANN GLEASON PT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 070002240 |
Most Important Dates
Enumeration Date: | 09/03/2008 |
Last Updated: | 09/03/2008 |
Provider Practice Location
345 E SUPERIOR ST
CHICAGO
IL
606112654
Practice Location Phone/Fax
Phone: | 3122381000 |
Fax: |
Provider Mailing Location
5040 HARVARD TER
SKOKIE
IL
600772825
Provider Mailing Phone/Fax
Phone: | 8476733317 |
Fax: |