Doctor Name: | STEVE DULAK |
NPI Number: | 1265447841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | 070012767 |
Business Practice Address: | 495 N Riverside Dr Suite 112 Gurnee, IL - 600315908 |
Business Phone Number: | 8472448420 |
Business Fax Number: | 8472494338 |
Mailing Address: | 495 N Riverside Dr, Suite 112 GURNEE |
State: | IL |
Postal Code: | 600315908 |
Phone Number: | 8472448420 |
Fax Number: | 8472494338 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070012767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |