Organization
REVOLUTION PHYSICAL THERAPY WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA WYSZOMIRSKI-CORN (MANAGER OF OFFICE OPERATIONS)
(312) 878-8800
Entity
Organization
Contact information
Practice address
205 N. WELLS ST., CHICAGO, IL 60606
(312) 878-8800
Mailing address
211 W WACKER DR, CHICAGO, IL 60606-1217
(312) 878-8800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
164006766
IL
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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