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Individual

MRS. ANGELA M LARUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5033 N CLARK ST, CHICAGO, IL 60640-2844
(773) 556-6716
Mailing address
205 W WACKER DR, SUITE1020, CHICAGO, IL 60606-1216
(312) 640-0329

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-017285
IL
225100000X
Physical Therapist
5501012920
MI

Other

Enumeration date
10/05/2006
Last updated
03/06/2014
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