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1396212932
TRACEY L MANGAN
CHICAGO, IL
NPI
1396212932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070024087)
Enumeration Date
2018-11-01
Last Update Date
2018-11-14
Business Address
TRACEY L MANGAN DPT
7148 W HIGGINS AVE
CHICAGO, IL 60656-1974
Phone number: 773-360-5531
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Mailing Address
TRACEY L MANGAN DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6200
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