Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 11, 2023
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 680 N LAKE SHORE DR STE 830 | Chicago, IL 60611-8702 | 312-926-8811 |
| MAILING | 680 N LAKE SHORE DR STE 830 | Chicago, IL 60611-8702 | 312-926-8811 |
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