Organization
ADVANCE CORE PHYSICAL THERAPY AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA MOISE PT (OWNER)
(646) 400-4764
Entity
Organization
Contact information
Practice address
5300 N LINCOLN AVE STE A, CHICAGO, IL 60625-8035
(646) 400-4764
Mailing address
2500 WINDSOR MALL APT 3E, PARK RIDGE, IL 60068-3639
(646) 400-4764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
08/10/2021
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