TARA BANICK, PT

Physical Therapist

Active Individual
NPI: 1972543171

Practice Address

1757 NORTHWIND BLVD
Libertyville, IL 60048

Phone: (224) 206-0200

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 070-012763 (IL)

Frequently Asked Questions

NPI 1972543171 is the National Provider Identifier for TARA BANICK, PT, a Physical Therapist provider located in Libertyville, IL. This NPI was enumerated on June 7, 2006.
TARA BANICK, PT practices at 1757 NORTHWIND BLVD, Libertyville, IL 60048.

Quick Facts

NPI
1972543171
Type
Individual
Enumerated
Jun 7, 2006
Last Updated
Jun 1, 2021

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