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Contact Information

JENIFER C DE LARA, PT
1415 SHERMAN AVE
APT. 605
EVANSTON, IL60201-4453
 Phone: 773-817-2522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENIFER C DE LARA · (Female)

NPI # 1255654950
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 03/09/2010
Last updated 03/09/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 070-009035
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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