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Individual

GUSTAVO CABAGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 440-9646
(866) 869-9780
Mailing address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 440-9646
(866) 869-9780

Taxonomy

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

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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