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Organization
WENTZEL SHORE CAPITAL, INC
Active
Organization
WENTZEL SHORE CAPITAL, INC
Active
Parent organization
WENTZEL SHORE CAPITAL, INC.
Other names
1st Choice Physical Therapy, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
WENTZEL SHORE CAPITAL, INC.
Authorized official
DR. AMY D ZORNOW DPT (PRESIDENT)
(847) 515-3366
Entity
Organization
Contact information
Practice address
10719 DUNDEE RD, HUNTLEY, IL 60142-9706
(847) 515-3366
(847) 515-3356
Mailing address
10719 DUNDEE RD, HUNTLEY, IL 60142-9706
(847) 515-3366
(847) 515-3356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070006647
IL
225100000X
Physical Therapist
070006659
IL
225100000X
Physical Therapist
070008677
IL
225100000X
Physical Therapist
070008735
IL
225100000X
Physical Therapist
Primary
070020083
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211831
PTAN
IL
Enumeration date
12/22/2014
Last updated
12/22/2014
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