Organization
UNIVERSAL HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK CHODZEN PT (OWNER)
(773) 745-0391
Entity
Organization
Contact information
Practice address
2651 N LARAMIE AVE, CHICAGO, IL 60639-1613
(773) 745-0391
(773) 745-3506
Mailing address
2651 N LARAMIE AVE, CHICAGO, IL 60639-1613
(773) 745-0391
(773) 745-3506
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
060007869
IL
Other
Enumeration date
04/23/2007
Last updated
09/14/2012
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