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Organization
PEAK PERFORMANCE
Active
Organization
PEAK PERFORMANCE
Active
Other names
P2 Training Systems
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LOOS PT (PROVIDER)
(630) 514-9199
Entity
Organization
Contact information
Practice address
821 BURLINGTON AVE LOWR LEVEL, WESTERN SPRINGS, IL 60558-1287
(708) 261-8458
Mailing address
821 WEST BURLINGTON AVE LOWR LEVEL, WESTERN SPRINGS, IL 60558-1287
(708) 261-8458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020116
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336573591
MEDICARE
IL
Enumeration date
04/23/2018
Last updated
05/03/2018
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