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1275964215
JASON KWAK
WOODRIDGE, IL
NPI
1275964215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-019978)
Enumeration Date
2013-12-02
Last Update Date
2022-07-21
Business Address
-- JASON KWAK
2027 87TH ST UNIT C
WOODRIDGE, IL 60517-7400
Phone number: 630-783-2300
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Mailing Address
-- JASON KWAK
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6250
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