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1780930602
BANSARI MODI
CHICAGO, IL
NPI
1780930602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-007131)
Enumeration Date
2012-07-29
Last Update Date
2012-07-29
Business Address
-- BANSARI MODI P.T.
2525 S MICHIGAN AVE
CHICAGO, IL 60616-2333
Phone number: 312-567-5550
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Mailing Address
-- BANSARI MODI P.T.
PO BOX 8684
CHICAGO, IL 60680-8684
Phone number: 630-886-9674
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