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1679034177
SARA L JEROUSEK
CHICAGO, IL
NPI
1679034177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: IL 21300379)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
Mrs. SARA L JEROUSEK CO, LO
225 E CHICAGO AVE
CHICAGO, IL 60611
Phone number: 312-227-6210
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Mailing Address
Mrs. SARA L JEROUSEK CO, LO
225 E CHICAGO AVE BOX 46
CHICAGO, IL 60611
Phone number: 312-227-6210
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