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Organization
PHYSICAL WELLNESS LAB, LLC
Active
Organization
PHYSICAL WELLNESS LAB, LLC
Active
Other names
Kathleen N Shean
Organization subpart
No
Provider details
NPI number
Authorized official
KATE NUGENT SHEAN PT (OWNER)
(312) 925-5325
Entity
Organization
Contact information
Practice address
1300 W BELMONT AVE, CHICAGO, IL 60657-3200
(224) 765-1598
Mailing address
1208 E LAKE AVE, GLENVIEW, IL 60025-2265
(312) 925-5325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
10/27/2021
Last updated
11/14/2021
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