Organization
DYNAMICO PHYSICAL THERAPY AND REHABILITATION CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAYEH EDWIN MIRSHED M.D. (PARTNER)
(773) 424-6367
Entity
Organization
Contact information
Practice address
4255 W 63RD ST, CHICAGO, IL 60629-5041
(773) 424-6367
Mailing address
4255 W 63RD ST, CHICAGO, IL 60629-5041
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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