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Organization

COVENANT PHYSIATRY,SC

Active
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Organization

COVENANT PHYSIATRY,SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDHYA R MEESALA MD (PHYSICIAN/OWNER)
(847) 852-6478
Entity
Organization

Contact information

Practice address
1590 W ALGONQUIN RD, SUITE 167, HOFFMAN ESTATES, IL 60192-1575
(847) 852-6478
(847) 382-1646
Mailing address
PO BOX 967, TINLEY PARK, IL 60477-0967
(708) 532-6029
(708) 532-6095

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036110423
IL

Other

Enumeration date
04/02/2008
Last updated
06/29/2015
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