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1699896431
TIMOTHY W PORCELLI
CHICAGO, IL
NPI
1699896431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
(Licence: IL 212-000115)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
-- TIMOTHY W PORCELLI LCPed
3723 N SOUTHPORT
CHICAGO, IL 60613-3718
Phone number: 312-409-2175
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Mailing Address
-- TIMOTHY W PORCELLI LCPed
POB 13377
CHICAGO, IL 60613
Phone number: 312-409-2175
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