SHANE W.A. IRGENS

CHICAGO, IL
NPI1679876015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-018218)
Enumeration Date2010-12-07
Last Update Date2011-07-12
Business Address
-- SHANE W.A. IRGENS PT
1300 N ASHLAND AVE SUITE G
CHICAGO, IL 60622-2268
Phone number: 773-252-6227
Mailing Address
-- SHANE W.A. IRGENS PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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