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1053886796
ERIN NICOLE KOOIKER
CHICAGO, IL
NPI
1053886796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160007879)
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
ERIN NICOLE KOOIKER PTA
811 W EVERGREEN AVE
CHICAGO, IL 60642-2682
Phone number: 312-242-1665
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Mailing Address
ERIN NICOLE KOOIKER PTA
17137 CENTRAL AVE
TINLEY PARK, IL 60477-3022
Phone number: 708-712-3450
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