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Individual

REBECCA GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3615 W. ALTGELD ST, CHICAGO, IL 60647
(773) 543-0467
Mailing address
3615 W ALTGELD ST, CHICAGO, IL 60647-1103
(773) 543-0467

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007211
IL

Other

Enumeration date
10/07/2015
Last updated
10/07/2015
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