Organization
A BIG BLAST PROJECT
Active
Other names
A Big Blast, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA PENZELL (PRESIDENT)
(847) 650-8161
Entity
Organization
Contact information
Practice address
2210 LINNEMAN ST, GLENVIEW, IL 60025-4168
(847) 650-8161
Mailing address
2210 LINNEMAN ST, GLENVIEW, IL 60025-4168
(847) 650-8161
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
Other
Enumeration date
04/22/2009
Last updated
05/06/2011
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