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1073035382
FREDERICK DUANE SAMPANG
CHICAGO, IL
NPI
1073035382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070023844)
Enumeration Date
2017-07-10
Last Update Date
2020-10-01
Business Address
FREDERICK DUANE SAMPANG PT, DPT
125 S JEFFERSON ST
CHICAGO, IL 60661-3663
Phone number: 847-773-0298
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Mailing Address
FREDERICK DUANE SAMPANG PT, DPT
5536 N ARTESIAN AVE APT 2
CHICAGO, IL 60625-3992
Phone number: 847-293-8171
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