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1558769885
ERNEST WILLIAM LAO
CHICAGO, IL
NPI
1558769885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070016310)
Enumeration Date
2014-12-18
Last Update Date
2014-12-18
Business Address
-- ERNEST WILLIAM LAO
4440 N KEDZIE AVE # U-401
CHICAGO, IL 60625-6880
Phone number: 312-576-0863
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Mailing Address
-- ERNEST WILLIAM LAO
4440 N KEDZIE AVE # U-401
CHICAGO, IL 60625-6880
Phone number: 312-576-0863
Copy
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