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1376553628
JACK CHODZEN
CHICAGO, IL
NPI
1376553628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-005658)
Enumeration Date
2006-08-09
Last Update Date
2008-01-02
Business Address
Mr. JACK CHODZEN pt
2651 N LARAMIE AVE
CHICAGO, IL 60639-1613
Phone number: 773-745-0391
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Mailing Address
Mr. JACK CHODZEN pt
2651 N LARAMIE AVE
CHICAGO, IL 60639-1613
Phone number: 773-745-0391
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