Organization
FUNCTIONAL EFFECT REHABILITATION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER DANIEL REYNOLDS D.C. (OWNER)
(920) 728-2930
Entity
Organization
Contact information
Practice address
2474 WISCONSIN AVE, DOWNERS GROVE, IL 60515-4019
(920) 728-2930
Mailing address
2474 WISCONSIN AVE, DOWNERS GROVE, IL 60515-4019
(920) 728-2930
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038012435
IL
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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