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1609927235
ERIC M SPARKS
PEORIA, IL
NPI
1609927235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070014114)
Enumeration Date
2007-01-12
Last Update Date
2022-07-21
Business Address
-- ERIC M SPARKS MPT
3714 N PROSPECT RD
PEORIA, IL 61614-7743
Phone number: 309-550-7888
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Mailing Address
-- ERIC M SPARKS MPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6250
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