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Organization

AZER III, P.C.

Active
Other names
Azer Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FAKHRY WILSON AZER P.T. (PRESIDENT)
(309) 344-3400
Entity
Organization

Contact information

Practice address
872 W DAYTON ST, GALESBURG, IL 61401-1503
(309) 344-3400
(309) 344-5040
Mailing address
872 W DAYTON ST, GALESBURG, IL 61401-1503
(309) 344-3400
(309) 344-5040

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251G0304X
Geriatric Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/28/2006
Last updated
03/16/2023
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