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Organization
KIDS IN BALANCE LLC
Active
Organization
KIDS IN BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVETTE COLL PT (MANAGER)
(773) 405-6020
Entity
Organization
Contact information
Practice address
2312 W MEDILL AVE UNIT 1, CHICAGO, IL 60647-3234
(773) 405-6020
(877) 217-2357
Mailing address
2312 W MEDILL AVE UNIT 1, CHICAGO, IL 60647-3234
(773) 405-6020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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