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Organization
GOOSEBERRY INC.
Active
Organization
GOOSEBERRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE KRUHLY PT, DPT (DIRECTOR)
(224) 836-0121
Entity
Organization
Contact information
Practice address
5632 VIRGINIA AVE, CLARENDON HILLS, IL 60514-1517
(224) 832-0121
Mailing address
5632 VIRGINIA AVE, CLARENDON HILLS, IL 60514-1517
(224) 832-0121
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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