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Organization
PRO-HEALTH PHYSICAL REHABILITATION SERVICES P C
Active
Organization
PRO-HEALTH PHYSICAL REHABILITATION SERVICES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM O AROWOLO PT (OWNER)
(630) 312-8022
Entity
Organization
Contact information
Practice address
235 REMINGTON BLVD, SUITE I, BOLINGBROOK, IL 60440-5826
(630) 312-8022
(630) 312-8660
Mailing address
235 REMINGTON BLVD, SUITE I, BOLINGBROOK, IL 60440-5826
(630) 312-8022
(630) 312-8660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009203
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932380
BCBSIL PROVIDER NO
IL
Enumeration date
05/27/2006
Last updated
04/13/2015
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