Organization
ALLIED THERAPY NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MASICLAT (PRESIDENT)
(630) 858-9000
Entity
Organization
Contact information
Practice address
1155 N MAIN ST, SUITE E, GLENDALE HEIGHTS, IL 60139-3508
(630) 858-9000
(630) 858-2421
Mailing address
1155 N MAIN ST STE E, GLENDALE HEIGHTS, IL 60139-3508
(630) 858-9000
(630) 858-2421
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Enumeration date
11/23/2009
Last updated
11/08/2010
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