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1073012936
HOLLIS S LIGHT
CHICAGO, IL
NPI
1073012936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.003183)
Enumeration Date
2018-02-06
Last Update Date
2018-02-06
Business Address
HOLLIS S LIGHT PT
2611 W CHICAGO AVE
CHICAGO, IL 60622-4519
Phone number: 773-395-9900
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Mailing Address
HOLLIS S LIGHT PT
714 COLUMBIAN AVE
OAK PARK, IL 60302-1556
Phone number: 708-380-9553
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