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Individual

BRIAN LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-1111
Mailing address
4918 N BELL AVE, CHICAGO, IL 60625-1924
(773) 814-9396

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023782
IL

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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