Organization
FUNCTIONAL HEALTH AND WELLNESS
Active
Other names
FYZICAL Therapy and Balance Center of South Oak Park
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN C TODD PT, DPT (OWNER)
(708) 445-3965
Entity
Organization
Contact information
Practice address
852 MADISON ST, OAK PARK, IL 60302-4441
(708) 445-3965
(708) 445-1355
Mailing address
852 MADISON ST, OAK PARK, IL 60302-4441
(708) 445-3965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
070013594
IL
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
10/10/2022
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