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Individual

ERIN NICOLE KOOIKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
811 W EVERGREEN AVE, CHICAGO, IL 60642-2682
(312) 242-1665
Mailing address
17137 CENTRAL AVE, TINLEY PARK, IL 60477-3022
(708) 712-3450

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007879
IL

Other

Enumeration date
10/09/2018
Last updated
10/09/2018
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