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1376323501
JESSICA NIKLOS
LA GRANGE, IL
NPI
1376323501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160007267)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
JESSICA NIKLOS
5101 WILLOW SPRINGS RD
LA GRANGE, IL 60525-2600
Phone number: 708-245-7900
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Mailing Address
JESSICA NIKLOS
620 IROQUOIS AVE
NAPERVILLE, IL 60563-1339
Phone number:
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