ANDREW ODENWALD

CHICAGO, IL
NPI1922466770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.021948)
Enumeration Date2016-02-08
Last Update Date2016-02-08
Business Address
-- ANDREW ODENWALD
6708 RELIABLE PKWY
CHICAGO, IL 60686-0067
Phone number: 309-231-0708
Mailing Address
-- ANDREW ODENWALD
112 NE MADISON AVE
PEORIA, IL 61602-1109
Phone number:
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