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1972647279
STAMATIOS TAKTIKOS
LIBERTYVILLE, IL
NPI
1972647279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015098)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
Mr. STAMATIOS TAKTIKOS
200 W GOLF RD
LIBERTYVILLE, IL 60048-3234
Phone number: 847-990-5782
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Mailing Address
Mr. STAMATIOS TAKTIKOS
416 INVERRARY LN
DEERFIELD, IL 60015-3604
Phone number: 847-279-0967
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