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1215056833
JAMES IBARDALOZA
CHICAGO, IL
NPI
1215056833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070013285)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mr. JAMES IBARDALOZA P.T.
5524 N BROADWAY ST
CHICAGO, IL 60640-1406
Phone number: 773-561-7342
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Mailing Address
Mr. JAMES IBARDALOZA P.T.
5524 N BROADWAY ST
CHICAGO, IL 60640-1406
Phone number: 773-561-7342
Copy
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