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1093059743
KELLIE AUDRA BANFIELD
EVANSTON, IL
NPI
1093059743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2012-11-19
Last Update Date
2016-04-12
Business Address
-- KELLIE AUDRA BANFIELD DPT
805 DAVIS ST
EVANSTON, IL 60201-4401
Phone number: 847-864-1535
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Mailing Address
-- KELLIE AUDRA BANFIELD DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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