# EBW PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073357380
- **Authorized official:** MRS. ERIN WILLS (OWNER)
- **Authorized official phone:** (708) 845-6306

## Contact information

- **Practice address:** 3440 W 111TH ST, CHICAGO, IL 60655-3302
- **Practice address phone:** (773) 429-8912
- **Practice address fax:** (773) 429-9850
- **Mailing address:** 3440 W 111TH ST, CHICAGO, IL 60655-3302
- **Mailing address phone:** (773) 429-8912
- **Mailing address fax:** (773) 429-9850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2024
- **Last updated:** 10/08/2024