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Organization

MACK PHYSICAL THERAPY LLC

Active
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Organization

MACK PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORI MACK MSPT (PRESIDENT)
(312) 527-2701
Entity
Organization

Contact information

Practice address
227 E ONTARIO ST, STE 201, CHICAGO, IL 60611-3385
(312) 527-2701
(312) 527-9202
Mailing address
1946 W NEWPORT AVE, APT 3E, CHICAGO, IL 60657-1123
(312) 527-2701
(312) 527-9202

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.012671
IL

Other

Enumeration date
02/09/2015
Last updated
02/09/2015
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