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1013958784
MICHAEL L EDQUIBAN
CHICAGO, IL
NPI
1013958784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011407)
Enumeration Date
2006-06-10
Last Update Date
2019-09-20
Business Address
Mr. MICHAEL L EDQUIBAN PT
5946 N MILWAUKEE AVENUE 1ST FLOOR
CHICAGO, IL 60646-5424
Phone number: 773-775-6637
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Mailing Address
Mr. MICHAEL L EDQUIBAN PT
5946 N MILWAUKEE AVENUE 1ST FLOOR
CHICAGO, IL 60646-5424
Phone number: 773-775-6637
Copy
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