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1073226510
DAKOTA JOHN GREENWALT
CHICAGO, IL
NPI
1073226510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2022-12-29
Last Update Date
2022-12-29
Business Address
DAKOTA JOHN GREENWALT DPT
2869 N LINCOLN AVE
CHICAGO, IL 60657-4201
Phone number: 773-665-9950
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Mailing Address
DAKOTA JOHN GREENWALT DPT
1621 N HONORE ST APT 3R
CHICAGO, IL 60622-1303
Phone number: 952-484-3644
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