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Organization
MID CITY PHYSICAL THERAPY, P.C.
Active
Organization
MID CITY PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT F. PERRY P.T. (OWNER)
(312) 961-6837
Entity
Organization
Contact information
Practice address
1266 PINE VALLEY DR, SUITE 203, SCHAUMBURG, IL 60173-6614
(312) 961-6837
(866) 208-9129
Mailing address
PO BOX 410577, CHICAGO, IL 60641-0577
(312) 961-6837
(866) 208-9129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634403
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/19/2006
Last updated
08/22/2020
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