Organization
REHAB AND SPORTS MED OUTFITTERS, INC
Active
Other names
Rehab and Sports Med Outfitters of Fox Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK P NASO O.T. (CEO)
(630) 383-9404
Entity
Organization
Contact information
Practice address
312 MORGAN VALLEY DR, OSWEGO, IL 60543-8038
(630) 383-9404
Mailing address
110 KIRKLAND CIR STE H, OSWEGO, IL 60543-8068
(630) 383-9404
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
056005093
IL
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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