Organization
PT PEARLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DIAMOS PT (PHYSICAL THERAPIST)
(773) 308-4074
Entity
Organization
Contact information
Practice address
4513 N KEOKUK AVE, CHICAGO, IL 60630-4220
(773) 308-4074
Mailing address
4513 N KEOKUK AVE, CHICAGO, IL 60630-4220
(773) 308-4074
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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