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1306974811
JACALYN ANN DERENGOWSKI
PARK RIDGE, IL
NPI
1306974811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: IL 070-010332)
Enumeration Date
2007-02-28
Last Update Date
2022-10-06
Business Address
JACALYN ANN DERENGOWSKI P.T.
1675 DEMPSTER ST FL 3
PARK RIDGE, IL 60068-1110
Phone number: 847-318-9330
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Mailing Address
JACALYN ANN DERENGOWSKI P.T.
29373 NETWORK PL
CHICAGO, IL 60673-6714
Phone number: 847-390-5900
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