Organization
IMMANUEL PHYSICAL REHABILITATION INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANG-JUN YU (P.T.)
(847) 734-9303
Entity
Organization
Contact information
Practice address
15 E GOLF RD STE B, ARLINGTON HEIGHTS, IL 60005-4014
(847) 734-9303
Mailing address
15 E GOLF RD STE B, ARLINGTON HEIGHTS, IL 60005-4014
(847) 734-9303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013396
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136987421001
—
IL
Enumeration date
08/21/2008
Last updated
08/26/2008
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