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Individual
ROBERT G INGRISANO
Active
Individual
ROBERT G INGRISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070002424
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131415300
US DEPARTMENT OF LABOR
IL
01
—
1617848
BLUE CROSS
IL
Enumeration date
03/19/2007
Last updated
04/23/2021
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