Organization
PEAK PERFORMANCE HEALTH CENTER LTD
Active
Parent organization
PEAK PERFORMANCE HEALTH CARE, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK PERFORMANCE HEALTH CARE, LTD
Authorized official
DR. RONALD S. STUMBRIS MD (MEDICAL DIRECTOR)
(312) 440-9646
Entity
Organization
Contact information
Practice address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 440-9646
Mailing address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 420-2513
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
11/14/2019
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