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1558647719
TIARA LIZETH PIENKOS
CHICAGO, IL
NPI
1558647719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070018582)
Enumeration Date
2011-11-01
Last Update Date
2019-01-11
Business Address
TIARA LIZETH PIENKOS PT
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883
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Mailing Address
TIARA LIZETH PIENKOS PT
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883
Copy
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