Organization
EL REY CORPORATION
Active
Organization
EL REY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRANEETH PURIMETLA DPT (DOCTOR OF PHYSICAL THERAPY)
(773) 807-4685
Entity
Organization
Contact information
Practice address
2250 W BELMONT AVE UNIT 1W, CHICAGO, IL 60618-6561
(773) 883-2337
Mailing address
2944 W CULLOM AVE APT 2, CHICAGO, IL 60618-1426
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070020269
IL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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