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1245226141
CHARLES CLARK
AURORA, IL
NPI
1245226141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-008359)
Enumeration Date
2005-09-26
Last Update Date
2016-12-07
Business Address
CHARLES CLARK P.T.
1900 OGDEN AVE
AURORA, IL 60504-4273
Phone number: 630-978-6218
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Mailing Address
CHARLES CLARK P.T.
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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