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Individual

MRS. MARY SUSAN NOGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
2171 W EXECUTIVE DR, 500, ADDISON, IL 60101-5625
(630) 766-0505
Mailing address
106 E PEPPER TREE DR, PALATINE, IL 60067-2740
(847) 991-4533

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.000365
IL

Other

Enumeration date
03/06/2015
Last updated
03/06/2015
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