Organization
BODY FIXX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN DANIEL SMITH PT (PHYSICAL THERAPIST)
(847) 234-0404
Entity
Organization
Contact information
Practice address
1044 N WESTERN AVE, LAKE FOREST, IL 60045-1282
(847) 234-0404
(847) 234-1019
Mailing address
1044 N WESTERN AVE, LAKE FOREST, IL 60045-1282
(847) 234-0404
(847) 234-1019
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070-011962
IL
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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