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1992391353
MARK ANTHONY REAL HIDALGO
MORTON GROVE, IL
NPI
1992391353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 70020653)
Enumeration Date
2020-12-18
Last Update Date
2020-12-18
Business Address
MARK ANTHONY REAL HIDALGO PT
7436 FOSTER ST
MORTON GROVE, IL 60053-1151
Phone number: 312-330-0183
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Mailing Address
MARK ANTHONY REAL HIDALGO PT
7436 FOSTER ST
MORTON GROVE, IL 60053-1151
Phone number: 312-330-0183
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