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Individual

DOMINIC MYLES D GO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
5642 N MAJOR AVE, CHICAGO, IL 60646-6417
(224) 858-3081
Mailing address
5642 N MAJOR AVE, CHICAGO, IL 60646-6417
(224) 858-3081

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
01/04/2020
Last updated
01/04/2020
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