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1396186045
CHAD T MIKESELL
KENOSHA, WI
NPI
1396186045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12437)
Enumeration Date
2013-07-10
Last Update Date
2019-02-25
Business Address
CHAD T MIKESELL PT
3601 30TH AVE SUITE 103
KENOSHA, WI 53144-1695
Phone number: 262-657-7071
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Mailing Address
CHAD T MIKESELL PT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6200
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