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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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