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1831445527
JACKIE CARL OIDEM
CHICAGO, IL
NPI
1831445527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.014823)
Enumeration Date
2012-07-31
Last Update Date
2012-07-31
Business Address
Mr. JACKIE CARL OIDEM
2233 W DIVISION ST PHYSICAL THERAPY DEPARTMENT
CHICAGO, IL 60622-8151
Phone number: 312-770-2000
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Mailing Address
Mr. JACKIE CARL OIDEM
2233 W DIVISION ST PHYSICAL THERAPY DEPARTMENT
CHICAGO, IL 60622-8151
Phone number: 312-770-2000
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