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Organization

MELC PHYSICAL THERAPY SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ELLEN LECLAIR CONNELLY PT (PRESIDENT)
(630) 212-3419
Entity
Organization

Contact information

Practice address
6360 BELMONT RD, DOWNERS GROVE, IL 60516-2118
(630) 212-3419
Mailing address
2 173 LLOYD, LOMBARD, IL 60148
(630) 212-3419

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070004645
IL

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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