Organization
COMPLEX THERAPY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TRYBA PT (PRESIDENT)
(630) 439-5445
Entity
Organization
Contact information
Practice address
105 N HUBBARD ST, ALGONQUIN, IL 60102-2459
(630) 439-5445
(224) 333-0589
Mailing address
105 N HUBBARD ST, ALGONQUIN, IL 60102-2459
(630) 439-5445
(224) 333-0589
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.010895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627658
BC/BS
IL
Enumeration date
11/26/2008
Last updated
11/26/2008
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