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Individual

JUAN DI LEO RAZUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8840 CALUMET AVE, MUNSTER, IN 46321-2545
(219) 513-0092
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004375A
IN
225100000X
Physical Therapist
070008887
IL

Other

Enumeration date
06/23/2011
Last updated
06/23/2011
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