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Organization
VIVID PHYSICAL THERAPY LLC
Active
Organization
VIVID PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PLATTNER (PHYSICAL THERAPIST)
(773) 492-1352
Entity
Organization
Contact information
Practice address
2536 W NORTH AVE, CHICAGO, IL 60647-5216
(773) 492-1352
Mailing address
3519 W CARROLL AVE, CHICAGO, IL 60624-1919
(773) 492-1352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
10/04/2023
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