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1235884123
ABRAHAM JOSE KATTAKAYAM
CHICAGO, IL
NPI
1235884123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070023719)
Enumeration Date
2022-02-18
Last Update Date
2022-02-18
Business Address
ABRAHAM JOSE KATTAKAYAM
66 W OAK ST
CHICAGO, IL 60610-7325
Phone number: 312-978-1703
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Mailing Address
ABRAHAM JOSE KATTAKAYAM
6105 W GRACE ST
CHICAGO, IL 60634-2549
Phone number: 312-978-1703
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