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1154497063
ALFONZO F THOMAS
CHICAGO, IL
NPI
1154497063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 70015418)
Enumeration Date
2006-11-24
Last Update Date
2023-06-08
Business Address
ALFONZO F THOMAS MPT
1611 W HARRISON ST STE 107
CHICAGO, IL 60612-4861
Phone number: 877-632-6637
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Mailing Address
ALFONZO F THOMAS MPT
1611 W HARRISON ST STE 107
CHICAGO, IL 60612-4861
Phone number: 877-632-6637
Copy
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