Organization
ACTION THERAPY SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D. MIKUZIS DO (DIRECTOR)
(815) 725-4919
Entity
Organization
Contact information
Practice address
850 BROOK FOREST AVE, UNIT I, SHOREWOOD, IL 60404-8513
(815) 725-4919
(815) 725-9449
Mailing address
850 BROOK FOREST AVE, UNIT I, SHOREWOOD, IL 60404-8513
(815) 725-4919
(815) 725-9449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932300
BCBS
IL
Enumeration date
08/19/2006
Last updated
03/20/2008
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