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Organization

COUNTER FORCE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KONRAD KOCZWARA (PRESIDENT)
(773) 234-1760
Entity
Organization

Contact information

Practice address
1115 W ARMITAGE, CHICAGO, IL 60614
(773) 234-1760
Mailing address
340 E NORTH WATER, APARTMENT 3602, CHICAGO, IL 60611
(773) 510-4312

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.022449
IL

Other

Enumeration date
02/10/2017
Last updated
02/10/2017
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