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1568079861
DAVIS HALLBERG
CHICAGO, IL
NPI
1568079861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.025561)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
DAVIS HALLBERG DPT
205 N WELLS ST
CHICAGO, IL 60606-1301
Phone number: 312-957-8882
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Mailing Address
DAVIS HALLBERG DPT
840 W BLACKHAWK ST APT 716
CHICAGO, IL 60642-2572
Phone number: 916-690-3423
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