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1760121024
HALINA BOGUCKI
PARK RIDGE, IL
NPI
1760121024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.008167)
Enumeration Date
2022-06-03
Last Update Date
2022-06-03
Business Address
HALINA BOGUCKI
510 N GREENWOOD AVE
PARK RIDGE, IL 60068-3395
Phone number: 163-039-4642
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Mailing Address
HALINA BOGUCKI
3940 N PITTSBURGH AVE
CHICAGO, IL 60634-1944
Phone number: 708-668-2336
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