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1619616190
AMY KUDLOV
CHICAGO, IL
NPI
1619616190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.009619)
Enumeration Date
2022-06-02
Last Update Date
2022-08-23
Business Address
AMY KUDLOV PTA
1409 W CARROLL AVE
CHICAGO, IL 60607-1105
Phone number: 312-733-0883
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Mailing Address
AMY KUDLOV PTA
1212 W GRENSHAW ST
CHICAGO, IL 60607-4414
Phone number: 773-809-4269
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