Dalvin D Little, | |
604 W Water St, Waukegan, IL 60085-5431 | |
(847) 406-7530 | |
Not Available |
Full Name | Dalvin D Little |
---|---|
Gender | Male |
Speciality | Physical Therapist - Electrophysiology, Clinical |
Location | 604 W Water St, Waukegan, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780362483 | NPI | - | NPPES |
34016496101L | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251E1300X | Physical Therapist - Electrophysiology, Clinical | 00124964401 (Illinois) | Primary |
225200000X | Physical Therapy Assistant | 00124964401 (Illinois) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dalvin D Little, 604 W Water St, Waukegan, IL 60085-5431 Ph: (847) 406-7530 | Dalvin D Little, 604 W Water St, Waukegan, IL 60085-5431 Ph: (847) 406-7530 |
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