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1013400142
MARY LAETHEM
CHICAGO, IL
NPI
1013400142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.021667)
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
MARY LAETHEM PT, DPT
710 S PAULINA ST
CHICAGO, IL 60612-3808
Phone number: 312-942-7000
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Mailing Address
MARY LAETHEM PT, DPT
2527 N SHEFFIELD AVE APT 1C
CHICAGO, IL 60614-1897
Phone number: 989-670-5241
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