Organization
IMPACT REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D JUDGE (MANAGING PARTNER/PHYSICAL THERAPIST)
(708) 478-1706
Entity
Organization
Contact information
Practice address
2028 W OAKTON ST, PARK RIDGE, IL 60068-1958
(708) 478-1706
Mailing address
2028 W OAKTON ST, PARK RIDGE, IL 60068-1958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-004993
IL
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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