EDWIN R ITALIA

AURORA, IL
NPI1366600967
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070013971)
Enumeration Date2008-05-30
Last Update Date2008-05-30
Business Address
-- EDWIN R ITALIA
1599 N FARNSWORTH AVE
AURORA, IL 60505-1530
Phone number: 630-428-5850
Mailing Address
-- EDWIN R ITALIA
PO BOX 2103
NAPERVILLE, IL 60567-2103
Phone number: 630-428-5850
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