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1114753555
ERIC SAM WONG
EVANSTON, IL
NPI
1114753555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.028612)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
ERIC SAM WONG PT, DPT
1000 CENTRAL ST STE 101
EVANSTON, IL 60201-1780
Phone number: 847-570-1260
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Mailing Address
ERIC SAM WONG PT, DPT
1000 CENTRAL ST STE 101
EVANSTON, IL 60201-1780
Phone number: 847-570-1260
Copy
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