Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 3, 2006
License(s)
070 014265 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1750 N RANDALL RD STE 280 | Elgin, IL 60123-7901 | 224-535-9453 |
| LOCATION | 1750 N RANDALL RD STE 280 | Elgin, IL 60123-7901 | 224-535-9453 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.