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1073290961
GRACE C ONG
CHICAGO, IL
NPI
1073290961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-008317)
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
GRACE C ONG RPT-IL
6003 N PAULINA ST UNIT 1
CHICAGO, IL 60660-2307
Phone number: 773-729-8215
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Mailing Address
GRACE C ONG RPT-IL
6003 N PAULINA ST UNIT 1
CHICAGO, IL 60660-2307
Phone number: 773-729-8215
Copy
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