MEGHAN LIVELY FASSEAS

CHICAGO, IL
NPI1407088453
Former NameMEGHAN LIVELY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.017272)
Enumeration Date2009-08-10
Last Update Date2014-10-07
Business Address
-- MEGHAN LIVELY FASSEAS
5616 W 63RD ST
CHICAGO, IL 60638-5511
Phone number: 773-526-5239
Mailing Address
-- MEGHAN LIVELY FASSEAS
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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