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Organization
4PRO PHYSICAL THERAPY, LLC
Active
Organization
4PRO PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL RIVERA D.C. (PRESIDENT)
(630) 520-0840
Entity
Organization
Contact information
Practice address
571 MAIN ST, WEST CHICAGO, IL 60185-2842
(630) 520-0840
Mailing address
571 MAIN ST, WEST CHICAGO, IL 60185-2842
(630) 520-0840
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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