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1114624244
JACOB THOMAS PEREZ
CHICAGO, IL
NPI
1114624244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL 096.005603)
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
JACOB THOMAS PEREZ M.S, ATC, LAT
10001 S WOODLAWN AVE
CHICAGO, IL 60628-1696
Phone number: 773-291-6173
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Mailing Address
JACOB THOMAS PEREZ M.S, ATC, LAT
638 LYNN AVE
ROMEOVILLE, IL 60446-1238
Phone number:
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