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Organization
TRUE FAITH REHABILITATIVE SERVICES, LTD
Active
Organization
TRUE FAITH REHABILITATIVE SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES IBARDALOZA P.T. (PHYSICAL THERAPIST)
(773) 561-7342
Entity
Organization
Contact information
Practice address
5524 N BROADWAY ST, CHICAGO, IL 60640-1406
(773) 561-7342
Mailing address
5524 N BROADWAY ST, CHICAGO, IL 60640-1406
(773) 561-7342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635458
BLUE CROSS BLUE SHIELD
IL
01
—
5655353
FIRST HEALTH CCN
IL
01
—
7458706
AETNA
IL
Enumeration date
03/26/2007
Last updated
08/22/2020
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