FREDERICK ITALIA

GLENVIEW, IL
NPI1760793186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.007585)
Enumeration Date2010-06-30
Last Update Date2010-06-30
Business Address
-- FREDERICK ITALIA
3703 W LAKE AVE SUITE 200
GLENVIEW, IL 60026-5823
Phone number: 847-998-1188
Mailing Address
-- FREDERICK ITALIA
1611 CINDY LN
SANDWICH, IL 60548
Phone number:
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