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1255424149
THERESA BASILO STURGEON
BOLINGBROOK, IL
NPI
1255424149
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Former Name
THERESA M BASILO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015255)
Enumeration Date
2006-10-02
Last Update Date
2014-02-04
Business Address
-- THERESA BASILO STURGEON PT
218 N BOLINGBROOK DR
BOLINGBROOK, IL 60440-2386
Phone number: 630-972-1541
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Mailing Address
-- THERESA BASILO STURGEON PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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