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Individual

GRANT BOMKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
30 S NORTHWEST HWY, PALATINE, IL 60074-6231
(224) 218-2984
(224) 836-5354
Mailing address
PO BOX 441146, KENNESAW, GA 30160-9522
(678) 459-3745
(678) 567-6737

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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