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Organization

SEBASTIAN DIVERSIFIED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD M. SEBASTIAN II B.S. P.T. (OWNER)
(847) 840-9900
Entity
Organization

Contact information

Practice address
101 SCHELTER RD STE 101B, LINCOLNSHIRE, IL 60069-3632
(847) 840-9900
Mailing address
101 SCHELTER RD STE 101B, LINCOLNSHIRE, IL 60069-3632
(847) 840-9900

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
06/16/2011
Last updated
06/16/2011
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