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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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