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1770903346
IAN JAN FUNTILON
SCHAUMBURG, IL
NPI
1770903346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070013719)
Enumeration Date
2014-04-23
Last Update Date
2014-04-23
Business Address
Mr. IAN JAN FUNTILON PT
101 KRISTIN CIR 4
SCHAUMBURG, IL 60195-5429
Phone number: 847-345-4207
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Mailing Address
Mr. IAN JAN FUNTILON PT
101 KRISTIN CIR 4
SCHAUMBURG, IL 60195-5429
Phone number: 847-345-4207
Copy
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