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Organization
PROREHAB PC
Active
Organization
PROREHAB PC
Active
Other names
ATHLETICO PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
GERI COOK (VP OF BILLING OPERATIONS)
(630) 575-1940
Entity
Organization
Contact information
Practice address
900 E WALNUT ST, STE 1, CARBONDALE, IL 62901-3132
(618) 319-7540
(618) 319-7542
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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