Organization
GANDOLFI PHYSICAL MEDICINE, LLC
Active
Organization
GANDOLFI PHYSICAL MEDICINE, LLC
Active
Other names
Elevate Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GANDOLFI III DC (OWNER)
(847) 463-0806
Entity
Organization
Contact information
Practice address
300 TOWNLINE RD, MUNDELEIN, IL 60060-4225
(224) 778-0846
Mailing address
300 TOWNLINE RD, MUNDELEIN, IL 60060-4225
(224) 778-0846
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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