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Organization

MICKOW CE PHYSICAL THERAPY, LLC

Active
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Organization

MICKOW CE PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHELSEA ELLIS PT (PRESIDENT)
(847) 748-8804
Entity
Organization

Contact information

Practice address
1200 OLD SKOKIE VALLEY RD, HIGHLAND PARK, IL 60035-3036
(847) 748-8804
(847) 810-0046
Mailing address
167 GLENDALE ST, WHEELING, IL 60090-2933
(847) 748-8804
(847) 810-0046

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—

Other

Enumeration date
01/15/2019
Last updated
02/12/2019
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