Organization
MIDWEST PROFESSIONAL SERVICE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILIA THOMPSON (OFFICE MANAGER)
(773) 647-0199
Entity
Organization
Contact information
Practice address
7831 ROBERT ROADS # 2, JUSTICE, IL 60455-7309
(773) 647-0199
Mailing address
7831 ROBERT ROADS # 2, JUSTICE, IL 60455-7309
(773) 647-0199
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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