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1558443846
THERESA R EIDEN
CHICAGO, IL
NPI
1558443846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070007514)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- THERESA R EIDEN PT
2533 N SOUTHPORT AVE
CHICAGO, IL 60614
Phone number: 773-472-2731
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Mailing Address
-- THERESA R EIDEN PT
2533 N SOUTHPORT AVE
CHICAGO, IL 60614
Phone number: 773-472-2731
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