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Organization
PRIME CARE MEDICAL AND PHYSICAL THERAPY CENTERS, S.C.
Active
Organization
PRIME CARE MEDICAL AND PHYSICAL THERAPY CENTERS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PAPADOPOULOS (BUSINESS MANAGER)
(773) 878-3674
Entity
Organization
Contact information
Practice address
1719 W 18TH ST, CHICAGO, IL 60608-1913
(312) 421-7010
Mailing address
PO BOX 56590, CHICAGO, IL 60656-0590
(773) 878-3674
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
IL
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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