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1689986234
SIMI PAULOSE
PARK RIDGE, IL
NPI
1689986234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251S0007X Physical Therapist, Sports
(Licence: IL 070.015968)
Enumeration Date
2010-07-12
Last Update Date
2010-07-12
Business Address
Mrs. SIMI PAULOSE DPT
1875 DEMPSTER ST
PARK RIDGE, IL 60068-1186
Phone number: 847-723-7500
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Mailing Address
Mrs. SIMI PAULOSE DPT
8810 N OZANAM AVE
NILES, IL 60714-1710
Phone number: 847-567-8014
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