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1942546700
VIBOL CHHONG
ELK GROVE VILLAGE, IL
NPI
1942546700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070022138)
Enumeration Date
2012-12-26
Last Update Date
2016-11-16
Business Address
Mr. VIBOL CHHONG DPT
990 ELK GROVE TOWN CTR
ELK GROVE VILLAGE, IL 60007-3754
Phone number: 847-290-1111
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Mailing Address
Mr. VIBOL CHHONG DPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6250
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