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Organization
LOCKPORT PAIN MANAGEMENT, LTD
Active
Organization
LOCKPORT PAIN MANAGEMENT, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RADCLIFFE D.C. (OWNER)
(815) 838-9441
Entity
Organization
Contact information
Practice address
400 SUMMIT DR, LOCKPORT, IL 60441-3241
(815) 838-9441
Mailing address
400 SUMMIT DR, LOCKPORT, IL 60441-3241
(815) 838-9441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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