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1104412139
SEWON LEE
ROCKFORD, IL
NPI
1104412139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-025543)
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
SEWON LEE DPT
526 E JEFFERSON ST STE 110
ROCKFORD, IL 61107-4076
Phone number: 815-997-5500
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Mailing Address
SEWON LEE DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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