Organization
360 PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM D WOLF P.T. (OWNER / PHYSICAL THERAPIST)
(312) 614-1349
Entity
Organization
Contact information
Practice address
564 W JACKSON BLVD, CHICAGO, IL 60661-5702
(312) 614-1349
(312) 526-3312
Mailing address
564 W JACKSON BLVD, CHICAGO, IL 60661-5702
(312) 614-1349
(312) 526-3312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015710
IL
Other
Enumeration date
01/13/2010
Last updated
11/13/2013
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