Organization
PT SUCCESS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S LUBAN DPT (PRESIDENT)
(312) 927-7331
Entity
Organization
Contact information
Practice address
9501 NEW ENGLAND AVE, OAK LAWN, IL 60453-2127
(708) 529-3406
Mailing address
9501 NEW ENGLAND AVE, OAK LAWN, IL 60453-2127
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070012698
IL
Other
Enumeration date
06/16/2009
Last updated
11/12/2009
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