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1396999579
LARA KATHRYN HENKE
CHICAGO, IL
NPI
1396999579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.013946)
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
-- LARA KATHRYN HENKE MPT
222 S RIVERSIDE PLZ STE 830 SUPPLEMENTAL HEALTH CARE
CHICAGO, IL 60606-5900
Phone number: 312-416-3804
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Mailing Address
-- LARA KATHRYN HENKE MPT
4736 N PAULINA ST # F1
CHICAGO, IL 60640-4435
Phone number: 847-327-9113
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