Organization
MIDWEST SPORTS MEDICINE
Active
Other names
The Center for Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA PEDRAZA (CFO)
(847) 437-9889
Entity
Organization
Contact information
Practice address
901 BIESTERFIELD RD STE 306, ELK GROVE VILLAGE, IL 60007-7324
(847) 437-1230
(847) 437-9023
Mailing address
901 BIESTERFIELD RD STE 306, ELK GROVE VILLAGE, IL 60007-7324
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.021091
IL
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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