Organization
AW PHYSICAL REHAB, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK PHAM (SECRETARY)
(773) 551-7022
Entity
Organization
Contact information
Practice address
1069 W ARGYLE ST, CHICAGO, IL 60640-3707
(773) 728-7022
(773) 989-9180
Mailing address
1069 W ARGYLE ST, CHICAGO, IL 60640-3707
(773) 728-7022
(773) 989-9180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
03/10/2007
Last updated
08/22/2020
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