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1851565279
JEROME PETTIGREW
CHICAGO, IL
NPI
1851565279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.014745)
Enumeration Date
2008-04-16
Last Update Date
2008-04-16
Business Address
-- JEROME PETTIGREW PT
5213 S KIMBARK AVE
CHICAGO, IL 60615-4009
Phone number: 773-241-4914
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Mailing Address
-- JEROME PETTIGREW PT
5213 S KIMBARK AVE
CHICAGO, IL 60615-4009
Phone number: 773-241-4914
Copy
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