Organization
ACCESS CARE THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EDQUIBAN PT (PRESIDENT)
(773) 805-2616
Entity
Organization
Contact information
Practice address
3647 W FOSTER AVE, CHICAGO, IL 60625-5527
(773) 715-4565
Mailing address
3647 W FOSTER AVE, CHICAGO, IL 60625-5527
(773) 715-4565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011407
IL
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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