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1336266915
GREGORY J STORTZUM
CHAMPAIGN, IL
NPI
1336266915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012091)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Mr. GREGORY J STORTZUM PT, MPT
2403 VILLAGE GREEN PL
CHAMPAIGN, IL 61822-7676
Phone number: 217-359-4549
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Mailing Address
Mr. GREGORY J STORTZUM PT, MPT
611 W PARK ST
URBANA, IL 61801-2500
Phone number: 217-326-2911
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