Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Other names
NIU Physical Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA NICOLE CALLAHAN (ASSISTANT TO THE DEAN)
(815) 753-6161
Entity
Organization
Contact information
Practice address
3100 SYCAMORE RD, DEKALB, IL 60115-9621
(815) 752-2675
(815) 753-6169
Mailing address
3100 SYCAMORE RD, DEKALB, IL 60115-9621
(815) 752-2675
(815) 753-6169
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070012170
IL
Other
Enumeration date
05/08/2008
Last updated
10/17/2024
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