Organization
MIDWEST PHYSICAL THERAPY PROVIDERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRIS ALENE (MANAGER)
(312) 543-6335
Entity
Organization
Contact information
Practice address
746 N LA SALLE DR, CHICAGO, IL 60654-3200
(312) 951-8200
Mailing address
746 N LA SALLE DR, CHICAGO, IL 60654-3200
(312) 951-8200
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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