Organization
ADVANCED PHYSICAL MEDICINE ASSOCIATES SC
Active
Organization
ADVANCED PHYSICAL MEDICINE ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C SARANTOPOULOS DO (PHYSICIAN PREISDENT OF APMA SA)
(630) 924-1450
Entity
Organization
Contact information
Practice address
490 WEST LAKE STREET, SUITE 105, ROSELLE, IL 60172-3500
(630) 924-1450
(630) 924-1459
Mailing address
490 WEST LAKE STREET, SUITE 105, ROSELLE, IL 60172-3500
(630) 924-1450
(630) 924-1459
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036094371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6206500001
MEDICARE DME NUMBER
IL
Enumeration date
08/07/2006
Last updated
03/31/2010
Update your record
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