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Individual

BOGDAN HARASIMOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
730 W HINTZ RD, WHEELING, IL 60090-5501
(773) 777-3607
Mailing address
535 SPRINGWOOD AVE, EAST DUNDEE, IL 60118-3019
(847) 551-1449

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017011
IL
225100000X
Physical Therapist
PTL-4591
CO

Other

Enumeration date
02/07/2007
Last updated
11/24/2011
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