Organization
CHAMPION FITNESS, INC
Active
Parent organization
CHAMPION FITNESS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHAMPION FITNESS, INC
Authorized official
MICHAEL COHLMAN (CEO)
(815) 844-5411
Entity
Organization
Contact information
Practice address
902 E OAK ST STE 3, FAIRBURY, IL 61739-1301
(815) 692-6200
(815) 692-6202
Mailing address
924 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-5411
(815) 844-5322
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
05/15/2015
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