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1417387663
ROBERTO RUSSO
HIGHLAND PARK, IL
NPI
1417387663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160006663)
Enumeration Date
2013-11-24
Last Update Date
2014-05-09
Business Address
-- ROBERTO RUSSO
1919 SKOKIE VALLEY RD
HIGHLAND PARK, IL 60035-2361
Phone number: 224-765-5550
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Mailing Address
-- ROBERTO RUSSO
900 RAND RD SUITE 300
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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