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Organization

PEAK PERFORMANCE HEALTH CENTER LTD

Active
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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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