Provider Demographics
NPI:1699052308
Name:GLUMAC, MILICA (PT)
Entity type:Individual
Prefix:
First Name:MILICA
Middle Name:
Last Name:GLUMAC
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MILICA
Other - Middle Name:
Other - Last Name:DRAGICEVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:900 RAND RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2359
Mailing Address - Country:US
Mailing Address - Phone:847-324-3976
Mailing Address - Fax:847-929-1154
Practice Address - Street 1:350 S GREENLEAF ST
Practice Address - Street 2:SUITE 403
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5709
Practice Address - Country:US
Practice Address - Phone:847-596-7640
Practice Address - Fax:847-596-7641
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist