Organization
B WISE REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA BANCEL DPT (OWNER)
(312) 909-1510
Entity
Organization
Contact information
Practice address
4754 N LINCOLN AVE, FL 1, CHICAGO, IL 60625
(773) 564-9941
(773) 694-4841
Mailing address
3423 N GREENVIEW AVE, CHICAGO, IL 60657-1307
(773) 564-9941
(773) 694-4841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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