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Organization
PREMIER KINESIOTHERAPY LLC
Active
Organization
PREMIER KINESIOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PHILLIP DERKITS PT, DPT (CEO)
(224) 639-2690
Entity
Organization
Contact information
Practice address
2444 W CHICAGO AVE, CHICAGO, IL 60622-4630
(224) 639-2690
Mailing address
1702 W NORTH AVE UNIT A4, CHICAGO, IL 60622-2073
(224) 639-2690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
08/13/2025
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