Organization
AK VANSANTEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY VAN SANTEN MS, PT (PHYSICAL THERAPIST)
(708) 227-0210
Entity
Organization
Contact information
Practice address
215 ROCKFORD AVE, FOREST PARK, IL 60130-1209
(708) 227-0210
Mailing address
215 ROCKFORD AVE, FOREST PARK, IL 60130-1209
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
070008117
IL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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