Marcia Bogolub
Physical Therapist in Highland Park, IL. Individual provider (NPI-1).
NPI number1922326792
StatusActive
Last updated in NPPESMay 4, 2010
Details
- NPI
- 1922326792
- Entity type
- Individual (NPI-1)
- Name
- Marcia Bogolub
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2010
- Last updated
- May 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070003949 | IL | Yes |
Practice location
1527 Sheridan RdHighland Park, IL 60035-3444
Phone 847-433-2315
Mailing address
1527 Sheridan RdHighland Park, IL 60035-3444
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