Organization
ACHIEVE ORTHOPEDIC MANUAL THERAPY PARK RIDGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANUARY LEWIS TUCKER (BILLING DIRECTOR/CRED REP)
(630) 300-3770
Entity
Organization
Contact information
Practice address
422 N NORTHWEST HWY STE 200, PARK RIDGE, IL 60068-3273
(847) 384-8511
(847) 384-8513
Mailing address
PO BOX 228, WILLOW SPRINGS, IL 60480-0228
(630) 371-1623
(630) 371-1546
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
06/07/2023
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