Organization
FRANKFORT SPINAL REHABILITATION & PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN JOHN NISIVOCCIA D C (PRESIDENT)
(708) 478-3000
Entity
Organization
Contact information
Practice address
19600 LA GRANGE RD, MOKENA, IL 60448-9321
(708) 478-3000
(708) 478-3007
Mailing address
19600 LA GRANGE RD, MOKENA, IL 60448-9321
(708) 478-3000
(708) 478-3007
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038-004843
IL
Other
Enumeration date
05/30/2006
Last updated
07/24/2008
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