Organization
EBW PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN WILLS (OWNER)
(708) 845-6306
Entity
Organization
Contact information
Practice address
3440 W 111TH ST, CHICAGO, IL 60655-3302
(773) 429-8912
(773) 429-9850
Mailing address
3440 W 111TH ST, CHICAGO, IL 60655-3302
(773) 429-8912
(773) 429-9850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
10/08/2024
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