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1538320247
EDWARD MICHAEL STAKENAS
OAK LAWN, IL
NPI
1538320247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070011703)
Enumeration Date
2008-06-24
Last Update Date
2020-07-13
Business Address
EDWARD MICHAEL STAKENAS P.T.
6701 W 95TH ST
OAK LAWN, IL 60453-2105
Phone number: 708-825-4211
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Mailing Address
EDWARD MICHAEL STAKENAS P.T.
6701 W 95TH ST
OAK LAWN, IL 60453-2105
Phone number: 708-825-4211
Copy
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