Organization
ACTIVCORE REHABILITATION CENTERS OF ILLINOIS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN KORNBLUTH P.T. (OWNER AND PHYSICAL THERAPIST)
(609) 651-3155
Entity
Organization
Contact information
Practice address
500 PARK BLVD, ITASCA, IL 60143-3121
(800) 455-8982
Mailing address
83 PRINCETON AVE, SUITE 3-B, HOPEWELL, NJ 08525-2020
(800) 455-8982
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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