Provider Demographics
NPI:1013157403
Name:DOROIN, ERMINA ANG (PT)
Entity Type:Individual
Prefix:MRS
First Name:ERMINA
Middle Name:ANG
Last Name:DOROIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10608 S DEPOT ST
Mailing Address - Street 2:2B
Mailing Address - City:WORTH
Mailing Address - State:IL
Mailing Address - Zip Code:60482-1244
Mailing Address - Country:US
Mailing Address - Phone:708-415-8379
Mailing Address - Fax:
Practice Address - Street 1:2649 E 75TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-3835
Practice Address - Country:US
Practice Address - Phone:773-338-2811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0700151782251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics