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1356011589
ADAM FORSYTHE
BROOKFIELD, IL
NPI
1356011589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160007027)
Enumeration Date
2021-09-18
Last Update Date
2021-09-18
Business Address
ADAM FORSYTHE
8700 31ST ST
BROOKFIELD, IL 60513-1000
Phone number: 708-485-1155
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Mailing Address
ADAM FORSYTHE
2410 LATHROP AVE
NORTH RIVERSIDE, IL 60546-1338
Phone number: 708-526-1612
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