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1346496718
JUAN MANUEL DIAZ
GLENVIEW, IL
NPI
1346496718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160004237)
Enumeration Date
2008-08-17
Last Update Date
2008-08-17
Business Address
-- JUAN MANUEL DIAZ PTA
3703 W LAKE AVE STE 200
GLENVIEW, IL 60026-1266
Phone number: 847-998-1188
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Mailing Address
-- JUAN MANUEL DIAZ PTA
3717 ELMWOOD AVE
BERWYN, IL 60402-4039
Phone number: 708-788-8373
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