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1780132431
ELIZABETH PANACKAL
MOUNT PROSPECT, IL
NPI
1780132431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070022346)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- ELIZABETH PANACKAL DPT
50 E NORTHWEST HWY
MOUNT PROSPECT, IL 60056-3223
Phone number: 847-718-9201
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Mailing Address
-- ELIZABETH PANACKAL DPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-1940
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