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1811051410
AUGUSTUS THEODORE BURKE
NORTHBROOK, IL
NPI
1811051410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-003905)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Mr. AUGUSTUS THEODORE BURKE PT
755 SKOKIE BLVD
NORTHBROOK, IL 60062-2805
Phone number: 847-272-7426
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Mailing Address
Mr. AUGUSTUS THEODORE BURKE PT
915 CEDAR LN
NORTHBROOK, IL 60062-3539
Phone number: 847-272-7273
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