Organization
BRIGHTMORE PHYSICAL THERAPY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC O'NEAL PT (OWNER)
(815) 744-7108
Entity
Organization
Contact information
Practice address
1240 ESSINGTON RD, SUITE 100, JOLIET, IL 60435-8408
(815) 744-7108
(815) 744-7057
Mailing address
1240 ESSINGTON RD, SUITE 100, JOLIET, IL 60435-8408
(815) 744-7108
(815) 744-7057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070004942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324626481001
—
IL
Enumeration date
08/25/2006
Last updated
10/06/2022
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