# FYSIOTHERAPIE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598986077
- **Authorized official:** MR. SANJAY REDDY PT (PRESIDENT)
- **Authorized official phone:** (312) 207-1774

## Contact information

- **Practice address:** 2810 W FULLERTON AVE, CHICAGO, IL 60647-2915
- **Practice address phone:** (773) 342-8887
- **Mailing address:** 200 N JEFFERSON ST APT 2401, CHICAGO, IL 60661-1286
- **Mailing address phone:** (312) 207-1774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070013765 | IL | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 12/28/2007