Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | IL |
NPI | 1245340637 |
---|---|
Provider Name | Mrs. Dawn Denisesinicki Bancsi |
First Address | Michigan City, IN 46360-9377 |
Second Address | Tinley Park, IL 60477-4789 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 31/01/2008 |