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1518122241
WILSON JOHN
CHICAGO, IL
NPI
1518122241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.001586)
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
Mr. WILSON JOHN PTA
5145 N CALIFORNIA AVE
CHICAGO, IL 60625-3661
Phone number: 773-878-8200
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Mailing Address
Mr. WILSON JOHN PTA
6729 CHURCH ST
MORTON GROVE, IL 60053-2307
Phone number: 847-501-0035
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