Organization
FUNCTIONAL FITNESS OF DUPAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER SHULTZ MS, CSCS (CLINICAL EXERCISE PHYSIOLOGIST)
(630) 390-8417
Entity
Organization
Contact information
Practice address
27W157 WALNUT DR, WINFIELD, IL 60190-2051
(630) 390-8417
Mailing address
27W157 WALNUT DR, WINFIELD, IL 60190-2051
(630) 390-8417
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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