Organization
SOMMO LLC
Active
Other names
ProFormance Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SILVER PT,ATC,CSCS (MEMBER/MANAGER)
(773) 957-6841
Entity
Organization
Contact information
Practice address
1824 JOHNS DR, GLENVIEW, IL 60025
(847) 581-6300
Mailing address
1824 JOHNS DR, GLENVIEW, IL 60025-1657
(847) 581-6300
(847) 657-0408
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070013977
IL
Other
Enumeration date
03/08/2016
Last updated
06/18/2024
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