Organization
GIVEN SPORTS & PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY EARL GIVEN PT, MHS, SCS, ATC (PRESIDENT)
(815) 477-8004
Entity
Organization
Contact information
Practice address
540 E TERRA COTTA AVE, SUITE G, CRYSTAL LAKE, IL 60014-3652
(815) 477-8004
(815) 477-8005
Mailing address
540 E TERRA COTTA AVE, SUITE G, CRYSTAL LAKE, IL 60014-3652
(815) 477-8004
(815) 477-8005
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215872
PTAN
IL
Enumeration date
09/09/2007
Last updated
01/09/2008
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