# ECLIPSE SPORTS REHAB AND PERFORMANCE

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

## Provider details

- **NPI number:** 1922999655
- **Authorized official:** KEVIN ACKERMANN PT, DPT (PHYSICAL THERAPIST / OWNER)
- **Authorized official phone:** (574) 303-8988

## Contact information

- **Practice address:** 108 N STATE ST, FL 4, CHICAGO, IL 60602
- **Practice address phone:** (574) 303-8988
- **Mailing address:** 1638 N MARSHFIELD AVE APT 2F, CHICAGO, IL 60622-1430
- **Mailing address phone:** (574) 303-8988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2025
- **Last updated:** 07/11/2025