# ACCESS CENTER PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851419113
- **Authorized official:** MS. AUDREY KIM CHENOWETH MSPT (PRESIDENT)
- **Authorized official phone:** (312) 573-1441

## Contact information

- **Practice address:** 211 E ONTARIO ST, SUITE 1450, CHICAGO, IL 60611-3468
- **Practice address phone:** (312) 573-1441
- **Practice address fax:** (312) 573-9929
- **Mailing address:** 211 E ONTARIO ST, SUITE 1450, CHICAGO, IL 60611-3468
- **Mailing address phone:** (312) 573-1441
- **Mailing address fax:** (312) 573-9929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070011361 | IL | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 01/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1635145 | BLUE CROSS BLUE SHIELD-IL | IL |