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Organization

CORE SPORT & PHYSICAL THERAPY PLLC

Active
Parent organization
CORE FITNESS & PHYSICAL THERAPY INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CORE FITNESS & PHYSICAL THERAPY INC.
Authorized official
DIANE FIDLER PHYSICAL THERAPIST (OWNER)
(773) 510-6422
Entity
Organization

Contact information

Practice address
10224 S KEDZIE AVE UNIT C, EVERGREEN PARK, IL 60805-3735
(773) 941-6132
Mailing address
2940 W 95TH ST, EVERGREEN PARK, IL 60805-2408
(708) 422-0990
(708) 741-3029

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/19/2024
Last updated
09/26/2025
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