Organization
FYSIOTHERAPIE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJAY REDDY PT (PRESIDENT)
(312) 207-1774
Entity
Organization
Contact information
Practice address
2810 W FULLERTON AVE, CHICAGO, IL 60647-2915
(773) 342-8887
Mailing address
200 N JEFFERSON ST APT 2401, CHICAGO, IL 60661-1286
(312) 207-1774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013765
IL
Other
Enumeration date
05/01/2007
Last updated
12/28/2007
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