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Organization
ENVISION CARE THERAPY INC
Active
Organization
ENVISION CARE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLESSON VARGHESE (PRESIDENT)
(224) 522-6550
Entity
Organization
Contact information
Practice address
1535 LAKE COOK RD STE 306, NORTHBROOK, IL 60062-1452
(224) 805-9690
Mailing address
912 PRAGUE AVE, BUFFALO GROVE, IL 60089-2877
(224) 805-9690
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
04/21/2020
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