Organization
MALDONADO & O'CONNELL
Active
Other names
Elite Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS MALDONADO P.T. (FACILITY MANAGER)
(312) 328-9220
Entity
Organization
Contact information
Practice address
1921 S MICHIGAN AVE, CHICAGO, IL 60616-1603
(312) 328-9220
(312) 328-9970
Mailing address
1921 S MICHIGAN AVE, CHICAGO, IL 60616-1603
(312) 328-9220
(312) 328-9970
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070021030
IL
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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