Organization
IMPACT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE M DEASY (HR DIRECTOR)
(630) 399-1015
Entity
Organization
Contact information
Practice address
1103 S STATE ST STE 300, CHICAGO, IL 60605-2775
(312) 877-5101
(312) 877-5906
Mailing address
PO BOX 220, WESTMONT, IL 60559-0220
(708) 590-6663
(709) 469-4100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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