# EMERGE PHYSICAL THERAPY & WELLNESS PLLC

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

## Provider details

- **NPI number:** 1679105142
- **Authorized official:** NICOLE F WODKA DPT (MANAGER)
- **Authorized official phone:** (847) 975-3616

## Contact information

- **Practice address:** 1962 N BISSELL ST UNIT 1, CHICAGO, IL 60614-5015
- **Practice address phone:** (847) 975-3616
- **Mailing address:** 1330 N DEARBORN ST APT 1601, CHICAGO, IL 60610-2080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2020
- **Last updated:** 02/12/2020