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1730746983
WALTER JOHN KWASNY
PARK RIDGE, IL
NPI
1730746983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.004654)
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
WALTER JOHN KWASNY PT
613 N HOME AVE
PARK RIDGE, IL 60068-2405
Phone number: 847-636-1012
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Mailing Address
WALTER JOHN KWASNY PT
613 N HOME AVE
PARK RIDGE, IL 60068-2405
Phone number:
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