# 360 PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1154651149
- **Authorized official:** MR. ADAM D WOLF P.T. (OWNER / PHYSICAL THERAPIST)
- **Authorized official phone:** (312) 614-1349

## Contact information

- **Practice address:** 564 W JACKSON BLVD, CHICAGO, IL 60661-5702
- **Practice address phone:** (312) 614-1349
- **Practice address fax:** (312) 526-3312
- **Mailing address:** 564 W JACKSON BLVD, CHICAGO, IL 60661-5702
- **Mailing address phone:** (312) 614-1349
- **Mailing address fax:** (312) 526-3312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070015710 | IL | Yes |

## Other

- **Enumeration date:** 01/13/2010
- **Last updated:** 11/13/2013