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DR. DOUGLAS JOSEPH MEYROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1629 CHICAGO AVE, EVANSTON, IL 60201-4504
(847) 475-1630
(847) 475-1631
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013795
IL

Other

Enumeration date
08/05/2006
Last updated
12/02/2008
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