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1437662590
SHOSHANA LEONIE CLARK
CHICAGO, IL
NPI
1437662590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.023411)
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
SHOSHANA LEONIE CLARK
355 E ERIE ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
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Mailing Address
SHOSHANA LEONIE CLARK
400 N MCCLURG CT APT 3813
CHICAGO, IL 60611-4350
Phone number:
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