Organization
SELECT PHYSICAL THERAPY OF ILLINOIS LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
10341 CENTRAL AVE, OAK LAWN, IL 60453-4603
(708) 423-0611
Mailing address
10341 CENTRAL AVE, OAK LAWN, IL 60453-4603
(708) 423-0611
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
02/28/2008
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