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1174953053
MICHAEL ANTONIO DELA CRUZ SALACUP
MORTON GROVE, IL
NPI
1174953053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.016226)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- MICHAEL ANTONIO DELA CRUZ SALACUP RPT
9238 WAUKEGAN RD
MORTON GROVE, IL 60053-2101
Phone number: 847-663-5566
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Mailing Address
-- MICHAEL ANTONIO DELA CRUZ SALACUP RPT
6721 W IRVING PARK RD APT.1B
CHICAGO, IL 60634-2282
Phone number: 773-610-7625
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