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1114082328
LISA RIDGEWAY
WILLOWBROOK, IL
NPI
1114082328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.007951)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
-- LISA RIDGEWAY PT
6705 KINGERY HWY
WILLOWBROOK, IL 60527-5142
Phone number: 630-388-6700
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Mailing Address
-- LISA RIDGEWAY PT
5357 N OSCEOLA AVE
CHICAGO, IL 60656-1719
Phone number: 773-774-9763
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