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1881943017
MARY ELLEN MODICA
CHICAGO, IL
NPI
1881943017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 07.003777)
Enumeration Date
2012-09-04
Last Update Date
2012-09-04
Business Address
Ms. MARY ELLEN MODICA PT
1401 S CALIFORNIA AVE
CHICAGO, IL 60608-1858
Phone number: 773-522-2010
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Mailing Address
Ms. MARY ELLEN MODICA PT
1401 S CALIFORNIA AVE
CHICAGO, IL 60608-1858
Phone number: 773-522-2010
Copy
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