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1336840511
BLAKELY R PORTILLO
CHICAGO, IL
NPI
1336840511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL PENDING)
Enumeration Date
2023-03-14
Last Update Date
2023-03-14
Business Address
BLAKELY R PORTILLO DPT
24 E CHICAGO AVE
CHICAGO, IL 60611-2009
Phone number: 312-951-9700
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Mailing Address
BLAKELY R PORTILLO DPT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-6200
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