Organization
CHICAGO RIDGE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LOHAN LPT (PRESIDENT/OWNER)
(708) 903-4105
Entity
Organization
Contact information
Practice address
10255 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1350
(708) 903-4105
Mailing address
10255 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1350
(708) 903-4105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.014202
IL
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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