Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 070016957 | IL |
NPI | 1003132481 |
---|---|
Provider Name | Melissa Strzelinski |
First Address | Chicago, IL 60610-7175 |
Second Address | Chicago, IL 60611-2654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2010 |
Last Update Date | 11/04/2010 |