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Organization

ACHIEVE ORTHOPEDIC SPORTS INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA PONGETTI PT, MPT (OWNER/PHYSICAL THERAPIST)
(312) 642-3963
Entity
Organization

Contact information

Practice address
6300 KINGERY HWY STE 204, WILLOWBROOK, IL 60527-2326
(630) 891-3980
(630) 891-3124
Mailing address
PO BOX 228, WILLOW SPRINGS, IL 60480-0228
(630) 300-3770
(630) 300-3820

Taxonomy

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

Other

Enumeration date
07/18/2017
Last updated
10/04/2023
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