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Organization

PHYSICALLY PHIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
POONAM BHARGAVA P.T. (PHYSICAL THERAPIST)
(312) 285-1090
Entity
Organization

Contact information

Practice address
2320 N DAMEN AVE STE 1R, CHICAGO, IL 60647-3359
(773) 489-0001
(773) 489-0003
Mailing address
2320 N DAMEN AVE STE 1R, CHICAGO, IL 60647-3359
(773) 489-0001
(773) 489-0003

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
IL

Other

Enumeration date
04/09/2008
Last updated
04/09/2008
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