Mary Joanne Korn, P.T.
Specialist in Chicago, IL. Individual provider (NPI-1).
NPI number1861697567
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861697567
- Entity type
- Individual (NPI-1)
- Name
- Mary Joanne Korn
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 10343-024 | WI | Yes |
Practice location
2139 W Cuyler AveChicago, IL 60618-3013
Phone 312-401-0359
Mailing address
2139 W Cuyler AveChicago, IL 60618-3013
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