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1255688800
MICHAEL LEAVITT
CRYSTAL LAKE, IL
NPI
1255688800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.017936)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
-- MICHAEL LEAVITT DPT
500 COVENTRY LN; SUITE 170 CENTEGRA HEALTH SYSTEM: NEURO-REHABILITATION CENTER
CRYSTAL LAKE, IL 60014
Phone number: 815-356-2700
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Mailing Address
-- MICHAEL LEAVITT DPT
9575 RAINSFORD DR
HUNTLEY, IL 60142-2473
Phone number: 847-845-8181
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