MAXIMINO WILDE

GLENVIEW, IL
NPI1467877118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  1600006607)
Enumeration Date2014-03-04
Last Update Date2014-03-04
Business Address
-- MAXIMINO WILDE
3703 W LAKE AVE
GLENVIEW, IL 60026-5823
Phone number: 847-904-5022
Mailing Address
-- MAXIMINO WILDE
8059 E PRAIRIE RD
SKOKIE, IL 60076-3446
Phone number: 773-678-6718
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