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1730855909
INGRID KRISTINE TAYLOR
LOCKPORT, IL
NPI
1730855909
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Former Name
INGRID KRISTINE LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.026080)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
INGRID KRISTINE TAYLOR DPT
16618 W 159TH ST STE 402
LOCKPORT, IL 60441-8011
Phone number: 815-838-0529
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Mailing Address
INGRID KRISTINE TAYLOR DPT
5134 S INGLESIDE AVE APT B
CHICAGO, IL 60615-3853
Phone number: 612-875-9259
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