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1912212176
KELLY WAGLE
ELMHURST, IL
NPI
1912212176
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Former Name
KELLY MCKENDRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-18010)
Enumeration Date
2010-08-12
Last Update Date
2016-01-22
Business Address
-- KELLY WAGLE DPT
111 W 3RD ST
ELMHURST, IL 60126-2798
Phone number: 630-415-3040
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Mailing Address
-- KELLY WAGLE DPT
111 W 3RD ST
ELMHURST, IL 60126-2798
Phone number: 630-415-3040
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