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1265725063
ALEXA BANCEL
CHICAGO, IL
NPI
1265725063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-018401)
Enumeration Date
2011-05-26
Last Update Date
2020-10-06
Business Address
ALEXA BANCEL PT
4754 N LINCOLN AVE STE 1
CHICAGO, IL 60625-7256
Phone number: 772-564-9941
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Mailing Address
ALEXA BANCEL PT
3423 N GREENVIEW AVE
CHICAGO, IL 60657-1307
Phone number: 312-909-1510
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