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Organization
PRIME TECH SERVICES INC
Active
Organization
PRIME TECH SERVICES INC
Active
Other names
THERAPEUTIC SERVICES OF AMERICA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SULLIVAN (OWNER)
(630) 573-1979
Entity
Organization
Contact information
Practice address
1460 MARKET ST, SUITE 300, DES PLAINES, IL 60016-4643
(630) 573-1979
Mailing address
2625 BUTTERFIELD RD, SUITE 300S, OAK BROOK, IL 60523-1234
(630) 573-1979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070012781
PHYSICAL THERAPY LICENSE
IL
Enumeration date
12/01/2006
Last updated
07/24/2015
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