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1801061262
SUSAN KELLY GUTIERREZ
GLENVIEW, IL
NPI
1801061262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160001127)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
Ms. SUSAN KELLY GUTIERREZ LPTA
3707 WEST LAKE AVE. SUITE #200
GLENVIEW, IL 60026
Phone number: 847-998-1188
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Mailing Address
Ms. SUSAN KELLY GUTIERREZ LPTA
5879 N MEDINA AVE
CHICAGO, IL 60646-5303
Phone number: 773-467-8205
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