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Organization
ELITE REHABILITATION INSTITUTE BRAIDWOOD LLC
Active
Organization
ELITE REHABILITATION INSTITUTE BRAIDWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY M PIRIE D.C. (OWNER)
(815) 458-2225
Entity
Organization
Contact information
Practice address
180 E MAIN ST, BRAIDWOOD, IL 60408-1912
(815) 458-2225
(815) 458-9825
Mailing address
180 E MAIN ST, BRAIDWOOD, IL 60408-1912
(815) 458-2225
(815) 458-9825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009041
IL
225100000X
Physical Therapist
070013955
IL
Other
Enumeration date
04/06/2011
Last updated
06/29/2011
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