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1942034301
RYAN SHANAHAN
LOMBARD, IL
NPI
1942034301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-028505)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
RYAN SHANAHAN
405 E NORTH AVE
LOMBARD, IL 60148-1325
Phone number: 630-748-5329
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Mailing Address
RYAN SHANAHAN
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-6200
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