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1033609763
MATTHEW PETER LUKANICH
JOLIET, IL
NPI
1033609763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 160.003665)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
MATTHEW PETER LUKANICH P.T.A.
2100 GLENWOOD AVE
JOLIET, IL 60435-5487
Phone number: 815-999-3501
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Mailing Address
MATTHEW PETER LUKANICH P.T.A.
2204 SUSANNA WAY
CREST HILL, IL 60403-1898
Phone number: 815-955-5282
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