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1164272670
KYLE A WAGNER
SCHAUMBURG, IL
NPI
1164272670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.028136)
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
KYLE A WAGNER
1031 S. ROSELLE RD
SCHAUMBURG, IL 60193
Phone number: 847-895-1866
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Mailing Address
KYLE A WAGNER
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-1980
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