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1104094010
BENJAMIN JASON WAX
CHICAGO, IL
NPI
1104094010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070014503)
Enumeration Date
2008-02-13
Last Update Date
2023-07-14
Business Address
BENJAMIN JASON WAX PT, DPT
3936 N MILWAUKEE AVE
CHICAGO, IL 60641-2703
Phone number: 630-368-1771
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Mailing Address
BENJAMIN JASON WAX PT, DPT
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-890-5900
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