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1538686951
DERRICK STABLES
CHICAGO, IL
NPI
1538686951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070023256)
Enumeration Date
2017-08-25
Last Update Date
2017-08-25
Business Address
Dr. DERRICK STABLES PT, DPT
355 E ERIE ST
CHICAGO, IL 60611-3167
Phone number: 312-238-1000
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Mailing Address
Dr. DERRICK STABLES PT, DPT
115 RIESER CIR
NAPERVILLE, IL 60565-2033
Phone number:
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