Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 10, 2017
License(s)
070.021568 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4902 N SEELEY AVE # 2 | Chicago, IL 60625-1314 | 312-213-4470 |
| MAILING | 4343 N CLARENDON AVE | Chicago, IL 60613-2698 | 312-213-4470 |
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