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1093808628
MINI A NEDUMGOTTIL
HINES, IL
NPI
1093808628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
283X00000X Rehabilitation Hospital
(Licence: IL 056005775)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Miss MINI A NEDUMGOTTIL OTR/L
5TH & ROOSEVELT RD
HINES, IL 60141
Phone number: 708-202-8387
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Mailing Address
Miss MINI A NEDUMGOTTIL OTR/L
362 FOSTER WAY
BOLINGBROOK, IL 60440
Phone number: 708-202-8387
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