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1689190951
VIRGINIA LACKER
CHICAGO, IL
NPI
1689190951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: IL 070.023010)
Enumeration Date
2017-08-18
Last Update Date
2017-08-18
Business Address
VIRGINIA LACKER
811 W EVERGREEN AVE STE 404
CHICAGO, IL 60642-7113
Phone number: 312-242-1665
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Mailing Address
VIRGINIA LACKER
811 W EVERGREEN AVE STE 404
CHICAGO, IL 60642-7113
Phone number:
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