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1871140806
MARY K MIXAN
CHICAGO, IL
NPI
1871140806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-024795)
Enumeration Date
2019-08-23
Last Update Date
2024-10-24
Business Address
MARY K MIXAN DPT
3922 N SHERIDAN RD
CHICAGO, IL 60613-2926
Phone number: 773-327-0040
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Mailing Address
MARY K MIXAN DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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