Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Oct 15, 2006
License(s)
070008452 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 17901 GOVERNORS HWY STE 20 | Homewood, IL 60430-1145 | 773-374-7800 |
| LOCATION | 17901 GOVERNORS HWY STE 20 | Homewood, IL 60430-1145 | 773-374-7800 |
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