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Individual

ABRAHAM JOSE KATTAKAYAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
66 W OAK ST, CHICAGO, IL 60610-7325
(312) 978-1703
Mailing address
6105 W GRACE ST, CHICAGO, IL 60634-2549
(312) 978-1703

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023719
IL

Other

Enumeration date
02/18/2022
Last updated
02/18/2022
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