Individual
BRIAN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4607 GOLF RD, SKOKIE, IL 60076-1209
(847) 673-5073
(847) 673-2475
Mailing address
4607 GOLF RD, SKOKIE, IL 60076-1209
(847) 673-5073
(847) 673-2475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-018515
IL
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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