# MIDWEST MANUAL PHYSICAL THERAPY PC

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

## Provider details

- **NPI number:** 1982163390
- **Authorized official:** THOMAS F MOLLSEN PT (OWNER)
- **Authorized official phone:** (847) 376-8289

## Contact information

- **Practice address:** 1355 E GOLF RD STE 100, DES PLAINES, IL 60016-1544
- **Practice address phone:** (847) 376-8289
- **Practice address fax:** (224) 938-9654
- **Mailing address:** 1355 E GOLF RD STE 100, DES PLAINES, IL 60016-1544
- **Mailing address phone:** (847) 376-8289
- **Mailing address fax:** (224) 938-9654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2019
- **Last updated:** 03/03/2020