Organization
REBUILT PT AND PERFORMANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GORNICK PT, DPT (OWNER, PHYSICAL THERAPIST)
(630) 426-1474
Entity
Organization
Contact information
Practice address
822 S SUMMIT AVE, VILLA PARK, IL 60181-3207
(630) 426-1474
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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