Organization
STABILITY PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization
STABILITY PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GENDRON PT, DPT (PHYSICAL THERAPIST/OWNER)
(312) 447-9794
Entity
Organization
Contact information
Practice address
5031 W BALMORAL AVE, CHICAGO, IL 60630-1507
(312) 447-9794
Mailing address
5031 W BALMORAL AVE, CHICAGO, IL 60630-1507
(312) 447-9794
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070.016196
PHYSICAL THERAPY LICENSE
IL
Enumeration date
01/16/2020
Last updated
01/18/2020
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