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1114493905
BRYCE RENICKER
CHICAGO, IL
NPI
1114493905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.024010)
Enumeration Date
2018-10-18
Last Update Date
2019-07-18
Business Address
BRYCE RENICKER
1 E ERIE ST STE 225
CHICAGO, IL 60611-4797
Phone number: 773-525-5200
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Mailing Address
BRYCE RENICKER
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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