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1053516088
SCOTT M WIRTH
WILLOWBROOK, IL
NPI
1053516088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-015955)
Enumeration Date
2007-06-19
Last Update Date
2011-05-27
Business Address
Mr. SCOTT M WIRTH DPT
635 EXECUTIVE DR
WILLOWBROOK, IL 60527-5603
Phone number: 630-455-6630
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Mailing Address
Mr. SCOTT M WIRTH DPT
19720 W. RT 102
WILMINGTON, IL 60481-9743
Phone number: 217-390-3190
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