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Organization

UNIVERSITY OF ILLINOIS AT CHICAGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JULIE ANN ROBICHAUD PT, PHD (SPECIAIST IN PT)
(312) 355-9600
Entity
Organization

Contact information

Practice address
1919 WEST TAYLOR - 650 AHSB, DEPARTMENT OF KINESIOLOGY AN, CHICAGO, IL 60612
(708) 507-0154
Mailing address
34 MARENGO AVE UNIT A, FOREST PARK, IL 60130-1107
(708) 488-9045

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070.010259
IL

Other

Enumeration date
10/10/2012
Last updated
10/10/2012
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