Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jun 3, 2019
License(s)
070.024282 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1051 E OLDE VIRGINIA CT | Palatine, IL 60074-8774 | 224-258-7959 |
| LOCATION | 7733 W GRAND AVE | Elmwood Park, IL 60707-1820 | 708-452-9200 |
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