Organization
DYNAMIX REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA ARDASHNIKOVA M.D. (VICE PRESIDENT)
(847) 736-9254
Entity
Organization
Contact information
Practice address
3206 RFD, LONG GROVE, IL 60047-8352
(847) 452-3403
(847) 745-0546
Mailing address
3206 RFD, LONG GROVE, IL 60047-8352
(847) 452-3403
(847) 745-0546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013646
IL
Other
Enumeration date
01/10/2010
Last updated
01/10/2010
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