Organization
AVANTE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JACKNOW (SERVICE PROVIDER)
(773) 209-5377
Entity
Organization
Contact information
Practice address
140 LATHROP AVE, FOREST PARK, IL 60130-1067
(177) 320-9537
Mailing address
140 LATHROP AVE, FOREST PARK, IL 60130-1067
(177) 320-9537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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