Organization
SNF PHYSIATRY SERVICES IL PLLC
Active
Organization
SNF PHYSIATRY SERVICES IL PLLC
Active
Other names
American Physiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE NATH (CEO)
(732) 813-0799
Entity
Organization
Contact information
Practice address
1 E ERIE ST, CHICAGO, IL 60611-2740
(732) 813-0799
Mailing address
8420 N KNOXVILLE AVE, SUITE C #1059, PEORIA, IL 61615
(203) 217-9500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
08/28/2024
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