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1194203125
THEODORE R MACIS
CHICAGO, IL
NPI
1194203125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070024053)
Enumeration Date
2018-08-01
Last Update Date
2018-10-18
Business Address
THEODORE R MACIS DPT
225 N MICHIGAN AVE STE C141
CHICAGO, IL 60601-7757
Phone number: 312-861-0751
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Mailing Address
THEODORE R MACIS DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6250
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