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Organization
PARK RIDGE SERVICE CORPORATION
Active
Organization
PARK RIDGE SERVICE CORPORATION
Active
Other names
Olympia Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PASQUALE G CALCAGNO DC (OWNER/PRESIDENT)
(630) 830-8600
Entity
Organization
Contact information
Practice address
1300 HIGGINS RD STE 200, PARK RIDGE, IL 60068-5766
(773) 321-2612
(773) 321-2818
Mailing address
260 E ARMY TRAIL RD STE D, BARTLETT, IL 60103-3005
(630) 830-8600
(630) 830-2273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038007980
IL
111N00000X
Chiropractor
038008566
IL
111N00000X
Chiropractor
038008827
IL
225100000X
Physical Therapist
Primary
070016335
IL
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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