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1104177286
LORI ANN HAVELKA
SKOKIE, IL
NPI
1104177286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.001163)
Enumeration Date
2012-09-28
Last Update Date
2012-09-28
Business Address
Miss LORI ANN HAVELKA PTA
8131 MONTICELLO AVE
SKOKIE, IL 60076-3325
Phone number: 847-673-6767
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Mailing Address
Miss LORI ANN HAVELKA PTA
5436 S LATROBE AVE
CHICAGO, IL 60638-2910
Phone number: 872-800-4385
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