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Organization
NEW LIFE PHYSICAL THERAPY AND REHABILITATION P.C.
Active
Organization
NEW LIFE PHYSICAL THERAPY AND REHABILITATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J KOOYENGA P.T. (OFFICER)
(708) 774-2970
Entity
Organization
Contact information
Practice address
25622 S GOVERNORS HWY, MONEE, IL 60449-8987
(708) 235-0144
(708) 235-0145
Mailing address
25622 S GOVERNORS HWY, MONEE, IL 60449-8987
(708) 774-2970
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932272
BCBS IL
IL
Enumeration date
07/21/2006
Last updated
07/23/2025
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