Organization
FINE LINE PHYSIO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IOANNIS DIMITRIOS ANASTOS DPT (PRESIDENT)
(708) 612-3339
Entity
Organization
Contact information
Practice address
713 W DEVON AVE, PARK RIDGE, IL 60068-4764
(708) 612-3339
Mailing address
713 W DEVON AVE, PARK RIDGE, IL 60068-4764
(708) 612-3339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/16/2022
Last updated
02/16/2023
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