Individual
MAXIME R SENECAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 S RIVERSIDE PLZ, CHICAGO, IL 60606-5808
(312) 416-3804
Mailing address
918 S HUMPHREY AVE, OAK PARK, IL 60304-1721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000877
IL
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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