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1942781125
MCKINLEY GROVE
GLEN ELLYN, IL
NPI
1942781125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070023770)
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
MCKINLEY GROVE DPT
460 ROOSEVELT RD
GLEN ELLYN, IL 60137-5611
Phone number: 630-858-8484
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Mailing Address
MCKINLEY GROVE DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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