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1982218384
RICHARD MEDINA
NORMAL, IL
NPI
1982218384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070025367)
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
RICHARD MEDINA PT
1715 BRADFORD LN STE 140
NORMAL, IL 61761-4177
Phone number: 309-888-4828
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Mailing Address
RICHARD MEDINA PT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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