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1366600967
EDWIN R ITALIA
AURORA, IL
NPI
1366600967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070013971)
Enumeration Date
2008-05-30
Last Update Date
2008-05-30
Business Address
EDWIN R ITALIA
1599 N FARNSWORTH AVE
AURORA, IL 60505-1530
Phone number: 630-428-5850
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Mailing Address
EDWIN R ITALIA
PO BOX 2103
NAPERVILLE, IL 60567-2103
Phone number: 630-428-5850
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