Organization
FUSION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONN NETTLES DN (MANAGING PARTNER)
(773) 643-0442
Entity
Organization
Contact information
Practice address
1525 E 53RD ST, SUITE 814, CHICAGO, IL 60615-4557
(773) 643-0442
(773) 643-7212
Mailing address
1525 E 53RD ST, SUITE 814, CHICAGO, IL 60615-4557
(773) 643-0442
(773) 643-7212
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/08/2007
Last updated
07/21/2022
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