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Organization
SHEA PHYSICAL THERAPY LTD.
Active
Organization
SHEA PHYSICAL THERAPY LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE BRENDAN SHEA (PRESIDENT)
(224) 676-0450
Entity
Organization
Contact information
Practice address
165 N ARLINGTON HEIGHTS RD, SUITE 170, BUFFALO GROVE, IL 60089-1783
(224) 676-0450
(224) 676-0448
Mailing address
165 N ARLINGTON HEIGHTS RD, SUITE 170, BUFFALO GROVE, IL 60089-1783
(224) 676-0450
(224) 676-0448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010546
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633096
BCBS
—
Enumeration date
02/17/2011
Last updated
08/02/2013
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