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1104981588
DIANE RUTH GENAZE
CHICAGO, IL
NPI
1104981588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.002619)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
Mrs. DIANE RUTH GENAZE P.T.
710 S PAULINA ST SUITE 732
CHICAGO, IL 60612-3808
Phone number: 312-942-5661
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Mailing Address
Mrs. DIANE RUTH GENAZE P.T.
3901 CLAUSEN AVE
WESTERN SPRINGS, IL 60558-1226
Phone number:
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