Organization
CHIMERA HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KOEHL PT, DPT (OWNER/PHYSICAL THERAPIST)
(312) 203-2405
Entity
Organization
Contact information
Practice address
525 N ADA ST APT 10, CHICAGO, IL 60642-6486
(312) 203-2405
Mailing address
525 N ADA ST APT 10, CHICAGO, IL 60642-6486
(312) 203-2405
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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