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Organization
ADVANCE CORE PHYSICAL THERAPY AND WELLNESS PLLC
Active
Organization
ADVANCE CORE PHYSICAL THERAPY AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA MOISE PT (OWNER)
(646) 400-4764
Entity
Organization
Contact information
Practice address
5300 N LINCOLN AVE STE A, CHICAGO, IL 60625-8035
(646) 400-4764
Mailing address
2500 WINDSOR MALL APT 3E, PARK RIDGE, IL 60068-3639
(646) 400-4764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
08/10/2021
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