Organization
WABASH CHRISTIAN THERAPY AND MEDICAL CLINIC LLC
Active
Other names
Wabash Christian Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PHILLIPPE (CEO)
(217) 732-9651
Entity
Organization
Contact information
Practice address
1112 OAK ST, CARMI, IL 62821-1344
(217) 732-5155
Mailing address
622 EMERSON RD, SUITE 310, SAINT LOUIS, MO 63141-6727
(217) 732-9651
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IL
Other
Enumeration date
02/10/2014
Last updated
12/20/2019
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