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Organization

CHAMPION FITNESS, INC

Active
Parent organization
CHAMPION FITNESS, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHAMPION FITNESS, INC
Authorized official
MICHAEL COHLMAN (CEO)
(815) 844-5411
Entity
Organization

Contact information

Practice address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 663-6777
(309) 663-6779
Mailing address
924 W CUSTER AVE, PONTIAC, IL 61764-1067
(815) 844-5411
(815) 844-5322

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
04/14/2015
Last updated
04/14/2015
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