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1932776572
MATTHEW TAN
EVANSTON, IL
NPI
1932776572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070026084)
Enumeration Date
2021-06-10
Last Update Date
2022-11-21
Business Address
MATTHEW TAN DPT
1704 MAPLE AVE STE 200
EVANSTON, IL 60201-3134
Phone number: 847-926-0106
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Mailing Address
MATTHEW TAN DPT
1704 MAPLE AVE STE 200
EVANSTON, IL 60201-3134
Phone number: 847-926-0106
Copy
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