Organization
ACCESS CENTER PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY KIM CHENOWETH MSPT (PRESIDENT)
(312) 573-1441
Entity
Organization
Contact information
Practice address
211 E ONTARIO ST, SUITE 1450, CHICAGO, IL 60611-3468
(312) 573-1441
(312) 573-9929
Mailing address
211 E ONTARIO ST, SUITE 1450, CHICAGO, IL 60611-3468
(312) 573-1441
(312) 573-9929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011361
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635145
BLUE CROSS BLUE SHIELD-IL
IL
Enumeration date
03/26/2007
Last updated
01/23/2009
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