Mr. Jackie Carl Oidem
Mr. Jackie Carl Oidem is a Physical Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
2233 W Division St Physical Therapy DeptChicago, IL 60622-8151
Phone: (312) 770-2000
Fax: (312) 770-3477
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070.014823 (IL) |
|---|
Record details
| NPI number | 1831445527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2012 |
| Last updated in NPPES | July 31, 2012 |
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