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1194060608
OSCAR JACOME
CHICAGO, IL
NPI
1194060608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-019596)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
-- OSCAR JACOME DPT
2837 W IRVING PARK RD
CHICAGO, IL 60618-3624
Phone number: 773-463-0249
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Mailing Address
-- OSCAR JACOME DPT
2837 W IRVING PARK RD
CHICAGO, IL 60618-3624
Phone number: 773-463-0249
Copy
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