Organization
CORE FITNESS AND PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE FIDLER (OWNER)
(708) 469-7441
Entity
Organization
Contact information
Practice address
6475 JOLIET RD, SUITE C, LA GRANGE HIGHLANDS, IL 60525-4647
(708) 469-7441
(708) 469-7661
Mailing address
6475 JOLIET RD, SUITE C, LA GRANGE HIGHLANDS, IL 60525-4647
(708) 469-7441
(708) 469-7661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008168
IL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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