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1780129825
KONRAD RICHARD KOCZWARA
CHICAGO, IL
NPI
1780129825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.022449)
Enumeration Date
2016-12-28
Last Update Date
2016-12-28
Business Address
-- KONRAD RICHARD KOCZWARA P.T.
1115 W ARMITAGE AVE
CHICAGO, IL 60614-4103
Phone number: 773-510-4312
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Mailing Address
-- KONRAD RICHARD KOCZWARA P.T.
8036 W BERWYN AVE
CHICAGO, IL 60656-1502
Phone number: 773-510-4312
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