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1033971411
ANDREW CLEVENGER
CHICAGO, IL
NPI
1033971411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.028039)
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
ANDREW CLEVENGER
2121 W ROSCOE ST
CHICAGO, IL 60618-9244
Phone number: 312-586-1185
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Mailing Address
ANDREW CLEVENGER
2121 W ROSCOE ST
CHICAGO, IL 60618-9244
Phone number: 312-586-1185
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