Organization
INDEPTH PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KORSO PT (PHYSICAL THERAPIST, OWNER)
(331) 230-8796
Entity
Organization
Contact information
Practice address
2549 N RACINE AVE, CHICAGO, IL 60614-2131
(331) 230-8796
Mailing address
2549 N RACINE AVE, CHICAGO, IL 60614-2131
(331) 230-8796
(773) 797-9404
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
02/08/2019
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