Organization
LUX CONCIERGE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN DUBOW (PHYSICAL THERAPIST)
(847) 987-8554
Entity
Organization
Contact information
Practice address
3161 N BROADWAY ST, CHICAGO, IL 60657-4508
(847) 220-4268
Mailing address
3161 N BROADWAY ST, CHICAGO, IL 60657-4508
(847) 987-5854
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2021
Last updated
07/12/2023
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