Organization
ST. MARY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHRAF N YOUSSIEF P.T (OWNER)
(708) 945-8416
Entity
Organization
Contact information
Practice address
2455 W 79TH ST, #101, CHICAGO, IL 60652
(773) 737-8000
(773) 737-8001
Mailing address
7903. W. 159TH ST, #A, TINLEY PARK, IL 60477
(708) 444-3000
(708) 444-3003
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070-007546
IL
Other
Enumeration date
07/14/2010
Last updated
05/30/2013
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