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1912408881
JOHN ANGELICO
OAK PARK, IL
NPI
1912408881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: IL 211.000034)
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
JOHN ANGELICO
401 HARRISON ST
OAK PARK, IL 60304-1427
Phone number: 708-383-2257
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Mailing Address
JOHN ANGELICO
1S376 SUMMIT AVE COURT E
OAKBROOK TERRACE, IL 60181-3985
Phone number: 630-705-4092
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