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Organization
PRO SPORTS AND SPINAL REHAB
Active
Organization
PRO SPORTS AND SPINAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL CYBULSKI DC (OWNER)
(815) 267-6263
Entity
Organization
Contact information
Practice address
12337 S ROUTE 59, UNIT 119, PLAINFIELD, IL 60585-4625
(815) 267-6263
(815) 782-8549
Mailing address
12337 S ROUTE 59, UNIT 119, PLAINFIELD, IL 60585-4625
(815) 267-6263
(815) 782-8549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011835
IL
225100000X
Physical Therapist
070006640
IL
Other
Enumeration date
01/15/2014
Last updated
03/13/2015
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