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1639849573
TIMOTHY SONG
EVANSTON, IL
NPI
1639849573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.026208)
Enumeration Date
2021-09-13
Last Update Date
2021-11-11
Business Address
TIMOTHY SONG DPT
909 DAVIS ST STE 220
EVANSTON, IL 60201-3664
Phone number: 847-733-7906
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Mailing Address
TIMOTHY SONG DPT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-1980
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