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1467592311
MITCHELL TANNENBAUM
DYER, IN
NPI
1467592311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070002363)
Enumeration Date
2007-02-08
Last Update Date
2011-11-23
Business Address
-- MITCHELL TANNENBAUM PT
425 US ROUTE 30 SUITE 320
DYER, IN 46311
Phone number: 219-864-0290
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Mailing Address
-- MITCHELL TANNENBAUM PT
205 W WACKER DR SUITE 1020
CHICAGO, IL 60606-1216
Phone number: 312-640-0329
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