Organization
SUPER THERAPY CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J KIM (PRESIDENT)
(708) 602-4414
Entity
Organization
Contact information
Practice address
4832 N SHERIDAN RD, CHICAGO, IL 60640-3704
(773) 561-0778
(773) 561-0779
Mailing address
4832 N SHERIDAN RD, CHICAGO, IL 60640-3704
(773) 561-0778
(773) 561-0779
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2098795
IL
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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