Organization
ADVANCED PHYSICAL MEDICINE ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C SARANTOPOULOS DO (PRESIDENT)
(630) 924-1450
Entity
Organization
Contact information
Practice address
3840 HARLEM AVE, LYONS, IL 60534-1289
(630) 924-1450
(630) 924-1459
Mailing address
490 W LAKE ST, SUITE 105, ROSELLE, IL 60172-3583
(630) 924-1450
(630) 924-1459
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036094371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G38160
UPIN
—
Enumeration date
09/26/2008
Last updated
09/26/2008
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