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1629363064
LAKESHORE PHYSICAL THERAPY, LLC
LIBERTYVILLE, IL
NPI
1629363064
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Entity Type
Organization
Authorized Contact
JONATHAN S CITOW
Owner
847-362-1848
Organization Subpart ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2011-06-14
Last Update Date
2011-06-17
Business Address
LAKESHORE PHYSICAL THERAPY, LLC
712 S MILWAUKEE AVE LOWER LEVEL
LIBERTYVILLE, IL 60048-3279
Phone number: 847-362-1848
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Mailing Address
LAKESHORE PHYSICAL THERAPY, LLC
712 S MILWAUKEE AVE LOWER LEVEL
LIBERTYVILLE, IL 60048-3279
Phone number: 847-362-1848
Copy
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