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Organization

ELGIN PHYSICAL MEDICINE SC

Active
Parent organization
ELGIN PHYSICAL MEDICINE SC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELGIN PHYSICAL MEDICINE SC
Authorized official
EUGENE JAO (PRESIDENT)
(773) 278-9525
Entity
Organization

Contact information

Practice address
3617 MORSAY DR, ROCKFORD, IL 61107-4869
(773) 278-9525
(773) 337-9135
Mailing address
PO BOX 4782, CHICAGO, IL 60680-4782
(773) 278-9525
(773) 337-9135

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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