Most Relevant Information
Provider Data
| NPI Number: | 1003080029 |
| Provider Name: | DARYL FEDERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070002291 |
Most Important Dates
| Enumeration Date: | 04/22/2008 |
| Last Updated: | 04/22/2008 |
Provider Practice Location
3703 WEST LAKE AVE
SUITE 200
GLENVIEW
IL
600261223
Practice Location Phone/Fax
| Phone: | 8479981188 |
| Fax: | 8479988008 |
Provider Mailing Location
1240 CARRIAGE LN
NORTHBROOK
IL
600621506
Provider Mailing Phone/Fax
| Phone: | 8472051904 |
| Fax: | 8472055123 |