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1992916605
HERBERT DEITERS
HOMER GLEN, IL
NPI
1992916605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015746)
Enumeration Date
2007-05-24
Last Update Date
2012-09-14
Business Address
-- HERBERT DEITERS PT
15750 MARIAN DR
HOMER GLEN, IL 60491-6200
Phone number: 708-645-3400
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Mailing Address
-- HERBERT DEITERS PT
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
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