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Individual

DANIEL LONGYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4211 N CICERO AVE, CHICAGO, IL 60641-1651
(773) 794-1000
(773) 794-9986
Mailing address
10100 FOREST HILLS RD, MACHESNEY PARK, IL 61115-8234
(815) 713-2600
(815) 654-8020

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-006161
IL

Other

Enumeration date
12/06/2006
Last updated
08/04/2008
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