Elite Rehabilitation Institute Braidwood Llc

NPI 1003105495 - Physical Therapist - 225100000X

NPI Details
NPI 1003105495
Enumeration Date 04/06/2011
Last Updated 06/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ANTHONY M ANTHONY
Position OWNER
Phone (815) 458-2225
Fax (815) 458-9825
Practice Location
180 E MAIN ST
BRAIDWOOD IL, 60408-1912, US
Phone (815) 458-2225
Fax (815) 458-9825
Business Location
180 E MAIN ST
BRAIDWOOD IL, 60408-1912, US
Phone (815) 458-2225
Fax (815) 458-9825
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070013955
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According to our database, Elite Rehabilitation Institute Braidwood Llc NPI is 1003105495, taxonomy code is 225100000X and license number is 070013955, license state is located at Illinois. Elite Rehabilitation Institute Braidwood Llc physically located at 180 E Main St, Braidwood IL, 60408-1912. NPI Number 1033115704 has the healthcare provider type.

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1003105495 NPI number is provided on an as is basis without warranty of any kind. 1003105495 is maintained by the National Plan & Provider Enumeration System. The contents of Elite Rehabilitation Institute Braidwood Llc are for informational purposes only.