Organization
OPAL THERAPY SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH TONIDO P.T. (PROGRAM MANAGER)
(773) 517-6489
Entity
Organization
Contact information
Practice address
7177 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2210
(773) 517-6489
(847) 674-9888
Mailing address
7177 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2210
(773) 517-6489
(847) 674-9888
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
070.007617
IL
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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