Organization
BEYER-POWERS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE SHAW (OFFICE MANAGER)
(847) 853-4405
Entity
Organization
Contact information
Practice address
3545 LAKE AVE, SUITE 203, WILMETTE, IL 60091-1058
(847) 853-4405
(847) 853-4410
Mailing address
3545 LAKE AVE., SUITE 203, WILMETTE, IL 60091
(847) 853-4405
(847) 853-4410
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
070007665
IL
261Q00000X
Clinic/Center
070007771
IL
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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