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Individual

ARIEL R WYNNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4711 N BROADWAY ST STE 103, CHICAGO, IL 60640-4908
(312) 344-3559
Mailing address
4711 N BROADWAY ST STE 103, CHICAGO, IL 60640-4908
(312) 344-3559

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023980
IL

Other

Enumeration date
07/05/2018
Last updated
09/21/2022
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