Organization
NEUROSPORT CHICAGO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI LIPSCOMB (OFFICE MANAGER)
(770) 321-0155
Entity
Organization
Contact information
Practice address
123 W MADISON ST, SUITE 200, CHICAGO, IL 60602-4511
(770) 321-0155
(770) 321-8426
Mailing address
1163 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30068-2764
(770) 321-0155
(770) 321-8426
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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