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Organization
PERFORMANCE PHYSICAL THERAPY LLC
Active
Organization
PERFORMANCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAULIK C PATEL PT (PRESIDENT)
(630) 550-7368
Entity
Organization
Contact information
Practice address
400 LAKE ST STE 320B, ROSELLE, IL 60172
(630) 550-7368
(630) 339-0476
Mailing address
400 W LAKE ST, STE 320-B, ROSELLE, IL 60172-3573
(630) 550-7368
(630) 339-0476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/14/2018
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