Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE FRANCES CARTER PTA (PHYSICAL THERAPIST ASSISTANT)
(480) 221-9012
Entity
Organization
Contact information
Practice address
4239 N OAK PARK AVE, CHICAGO, IL 60634-1410
(773) 282-3652
Mailing address
4239 N OAK PARK AVE, CHICAGO, IL 60634-1410
(773) 282-3652
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
160002529
IL
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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