Organization
THE EXCELLENCE GROUP, LLC
Active
Parent organization
T.R.S.E, LLC
Other names
The Rapha Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
T.R.S.E, LLC
Authorized official
TEKELA R SCOTT MPT (OWNER)
(708) 359-9899
Entity
Organization
Contact information
Practice address
1102 E 46TH ST UNIT 202, CHICAGO, IL 60653-4435
(708) 359-9899
Mailing address
1102 E 46TH ST UNIT 202, CHICAGO, IL 60653-4435
(708) 359-9899
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070012853
IL
305S00000X
Point of Service
070012853
IL
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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