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Organization
ANDERSONVILLE PHYSICAL THERAPY, SC
Active
Organization
ANDERSONVILLE PHYSICAL THERAPY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH YERGA PT, DPT (OWNER, PRESIDENT)
(773) 907-3599
Entity
Organization
Contact information
Practice address
5414 N BROADWAY ST, CHICAGO, IL 60640-1704
(773) 907-3599
(773) 907-3510
Mailing address
5414 N BROADWAY ST, CHICAGO, IL 60640-1704
(773) 907-3599
(773) 907-3510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008600
IL
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623236
BCBS
IL
01
—
600037500
US DEPT OF LABOR
IL
01
—
650021537
RAILROAD MEDICARE
IL
Enumeration date
01/08/2007
Last updated
08/12/2026
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