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1225387343
MARK WILDEBOER
CHICAGO, IL
NPI
1225387343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: IL 070015786)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
Mr. MARK WILDEBOER PT, DPT, OCS
1401 S. CALIFORNIA BLVD
CHICAGO, IL 60608
Phone number: 773-522-2010
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Mailing Address
Mr. MARK WILDEBOER PT, DPT, OCS
1401 S. CALIFORNIA BLVD
CHICAGO, IL 60608
Phone number: 773-522-2010
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