BUEN VIDAD

ORLAND PARK, IL
NPI1215355565
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160005627)
Enumeration Date2014-04-03
Last Update Date2014-04-03
Business Address
-- BUEN VIDAD
11508 W 183RD ST
ORLAND PARK, IL 60467-9487
Phone number: 170-832-6155
Mailing Address
-- BUEN VIDAD
1851 MAPLE AVE
BERWYN, IL 60402-1549
Phone number:
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