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1114098068
IATGW
LAKE ZURICH, IL
NPI
1114098068
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Entity Type
Organization
Authorized Contact
MARY T.M. DICERBO
Owner
847-550-1115
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038-008858)
Enumeration Date
2006-11-13
Last Update Date
2020-08-22
Business Address
IATGW
765 ELA RD SUITE 105
LAKE ZURICH, IL 60047-2385
Phone number: 847-550-1115
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Mailing Address
IATGW
765 ELA RD SUITE 105
LAKE ZURICH, IL 60047-2385
Phone number: 847-550-1115
Copy
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