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Organization

BIG EASY PT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL WINGERTER (OWNER/PHYSICAL THERAPIST)
(504) 905-7968
Entity
Organization

Contact information

Practice address
431 JANES AVE UNIT 108, BOLINGBROOK, IL 60440-2836
(504) 905-7968
Mailing address
431 JANES AVE UNIT 108, BOLINGBROOK, IL 60440-2836

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
07/11/2024
Last updated
07/11/2024
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