Organization
3M REHABILITATION SERVICES INC
Active
Other names
MARK KUKLEWICZ LPT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY J JACKSON (BILLER)
(630) 399-1150
Entity
Organization
Contact information
Practice address
7961 W COUNTRY CLUB LN, ELMWOOD PARK, IL 60707-3533
(708) 453-5112
(705) 453-5120
Mailing address
7961 W COUNTRY CLUB LN, ELMWOOD PARK, IL 60707-3533
(708) 453-5112
(705) 453-5120
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620328
BCBS
IL
Enumeration date
01/23/2008
Last updated
01/23/2008
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