GWEN D WEIDELL

CHICAGO, IL
NPI1629226188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160002290)
Enumeration Date2008-09-08
Last Update Date2008-09-08
Business Address
Ms. GWEN D WEIDELL PTA
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1000
Mailing Address
Ms. GWEN D WEIDELL PTA
7411 N SEELEY AVE UNIT 1C
CHICAGO, IL 60645-2261
Phone number:
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