Organization
PHYSIASERVPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME JOSEPH ANIOLOWSKI (VICE PRESIDENT)
(847) 370-3806
Entity
Organization
Contact information
Practice address
851 WHITE BIRCH LN, LAKE ZURICH, IL 60047-2663
(847) 540-6756
Mailing address
851 WHITE BIRCH LN, LAKE ZURICH, IL 60047-2663
(847) 540-6756
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
05/07/2015
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