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Individual

BRIDGET RACKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2600 S MICHIGAN AVE, SUITE 102, CHICAGO, IL 60616-2857
(312) 326-7492
(312) 326-7490
Mailing address
10001 DERBY LN, SUITE 208, WESTCHESTER, IL 60154-3749
(708) 681-2991
(708) 731-3173

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160007077
IL

Other

Enumeration date
07/16/2015
Last updated
07/16/2015
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