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1194029835
JODI GRANTHAM
CHICAGO, IL
NPI
1194029835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070018178)
Enumeration Date
2011-01-10
Last Update Date
2011-05-26
Business Address
-- JODI GRANTHAM PT
9645 S WESTERN AVE
CHICAGO, IL 60643-1722
Phone number: 773-239-2734
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Mailing Address
-- JODI GRANTHAM PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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