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1013100478
MICHELLE O. MALIWAT
DES PLAINES, IL
NPI
1013100478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070014608)
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
-- MICHELLE O. MALIWAT DPT
9375 W CHURCH ST
DES PLAINES, IL 60016-4271
Phone number: 847-824-5165
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Mailing Address
-- MICHELLE O. MALIWAT DPT
9375 W CHURCH ST
DES PLAINES, IL 60016-4271
Phone number: 847-824-5165
Copy
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