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1053404368
MARGARET L LEISE
TINLEY PARK, IL
NPI
1053404368
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Former Name
MARGARET L BASDEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012199)
Enumeration Date
2006-10-02
Last Update Date
2011-07-19
Business Address
MARGARET L LEISE PT
16651 HARLEM AVE
TINLEY PARK, IL 60477-2581
Phone number: 708-444-2838
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Mailing Address
MARGARET L LEISE PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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