Organization
CHW PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE HORVE-WILLOUGHBY PT (OWNER)
(217) 935-4380
Entity
Organization
Contact information
Practice address
101 E SIDE SQ, CLINTON, IL 61727-1652
(217) 935-4380
(217) 935-0802
Mailing address
PO BOX 421, CLINTON, IL 61727-0421
(217) 935-4380
(217) 935-0802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
D63958395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350706213001
—
IL
Enumeration date
08/05/2006
Last updated
06/24/2008
Update your record
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