Organization
LIVING WELL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA KAY ZAGULA M.P.T. (OWNER/PRESIDENT)
(847) 651-4419
Entity
Organization
Contact information
Practice address
450 N SEYMOUR AVE, MUNDELEIN, IL 60060-1835
(847) 949-4262
(847) 949-8526
Mailing address
1026 WRENS GATE, MUNDELEIN, IL 60060-1268
(847) 651-4419
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.007536
IL
Other
Enumeration date
08/30/2007
Last updated
09/18/2019
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