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1194209551
CHANSEUL PARK
NILES, IL
NPI
1194209551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.008362)
Enumeration Date
2018-09-21
Last Update Date
2018-09-21
Business Address
CHANSEUL PARK
9777 N GREENWOOD AVE
NILES, IL 60714
Phone number: 847-967-7000
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Mailing Address
CHANSEUL PARK
2080 HASSELL RD APT 302
HOFFMAN ESTATES, IL 60169-6334
Phone number:
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