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Organization
FUNCTIONAL FITNESS OF DUPAGE, INC
Active
Organization
FUNCTIONAL FITNESS OF DUPAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER SHULTZ MS, CSCS (CLINICAL EXERCISE PHYSIOLOGIST)
(630) 390-8417
Entity
Organization
Contact information
Practice address
27W157 WALNUT DR, WINFIELD, IL 60190-2051
(630) 390-8417
Mailing address
27W157 WALNUT DR, WINFIELD, IL 60190-2051
(630) 390-8417
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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