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1568794113
JAKE BURANICZ
ROSELLE, IL
NPI
1568794113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL 160.002627)
Enumeration Date
2010-02-08
Last Update Date
2013-09-11
Business Address
MR. JAKE BURANICZ PTA
395 RODENBURG RD. HOME HEALTH - TRAVEL
ROSELLE, IL 60172
Phone number: 847-274-9561
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Mailing Address
MR. JAKE BURANICZ PTA
395 RODENBURG RD.
ROSELLE, IL 60172
Phone number: 847-274-9561
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