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Organization
NORTH SUBURBAN PHYSICAL THERAPY, P.C.
Active
Organization
NORTH SUBURBAN PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN KENNETH BAGLEY PT (PRESIDENT)
(630) 674-3210
Entity
Organization
Contact information
Practice address
3021 FALLING WATERS BLVD, LINDENHURST, IL 60046-6793
(630) 674-3210
Mailing address
1836 OSLO CT, MUNDELEIN, IL 60060-4869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014971
IL
Other
Enumeration date
03/28/2010
Last updated
03/28/2010
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