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1861741084
STEPHANIE TATE
ELMHURST, IL
NPI
1861741084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.019460)
Enumeration Date
2012-09-04
Last Update Date
2016-08-08
Business Address
-- STEPHANIE TATE DPT
300 W BUTTERFIELD RD
ELMHURST, IL 60126-5017
Phone number: 630-834-0478
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Mailing Address
-- STEPHANIE TATE DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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