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1003196593
KENDRICK DWAYNE SUMMERS
CHICAGO, IL
NPI
1003196593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.019110)
Enumeration Date
2011-08-28
Last Update Date
2021-06-30
Business Address
Mr. KENDRICK DWAYNE SUMMERS PT
259 E ERIE ST STE 13-205
CHICAGO, IL 60611-2987
Phone number: 312-695-8143
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Mailing Address
Mr. KENDRICK DWAYNE SUMMERS PT
259 E ERIE ST STE 13-205
CHICAGO, IL 60611-2987
Phone number: 312-695-8143
Copy
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