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1972972578
JORDAN THIEME
CHICAGO, IL
NPI
1972972578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070021886)
Enumeration Date
2015-09-24
Last Update Date
2015-11-16
Business Address
-- JORDAN THIEME
5230 S BLACKSTONE AVE
CHICAGO, IL 60615-4106
Phone number: 773-256-1475
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Mailing Address
-- JORDAN THIEME
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number:
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