# CHICAGO HEALTH AND PHYSICAL THERAPY CENTER SC

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

## Provider details

- **NPI number:** 1861421950
- **Authorized official:** DR. RICHARD J DIETZEN DC (DIRECTOR)
- **Authorized official phone:** (773) 282-6648

## Contact information

- **Practice address:** 5545 W MONTROSE AVE, CHICAGO, IL 60641-1331
- **Practice address phone:** (773) 282-6648
- **Practice address fax:** (773) 282-6965
- **Mailing address:** 5545 W MONTROSE AVE, CHICAGO, IL 60641-1331
- **Mailing address phone:** (773) 282-6648
- **Mailing address fax:** (773) 282-6965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 042.618903 | IL | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 07/30/2019