Organization
CLINIC OF CHICAGO PROFESSIONALS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAROSLAW PRUS P.T. (PRESIDENT)
(773) 283-7535
Entity
Organization
Contact information
Practice address
6444 WEST BELMONT AVENUE, UNIT B, CHICAGO, IL 60634
(773) 283-7535
(773) 283-7530
Mailing address
6444 WEST BELMONT AVENUE, UNIT B, CHICAGO, IL 60634
(773) 283-7535
(773) 283-7530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-012652
IL
225100000X
Physical Therapist
070.012652
IL
Other
Enumeration date
03/01/2007
Last updated
11/18/2011
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