Organization
INTEGRATIVE PHYSICAL MEDICINE OF CHICAGO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC OTT DC (PRESIDENT)
(407) 977-3842
Entity
Organization
Contact information
Practice address
1315 W 22ND ST, SUITE 110, OAK BROOK, IL 60523-2057
(312) 462-4444
Mailing address
954 CRESCENT BLVD, GLEN ELLYN, IL 60137-4255
(312) 462-4444
(312) 626-2070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-086579
IL
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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