Eastern Iowa Therapeutics PC

NPI #1023064144 in Chicago, Illinois

Provider Information

NPI Number: 1023064144
Entity Type: Organization
Organization Name: Eastern Iowa Therapeutics PC
Primary Specialty: Physical Therapist
Enumeration Date: May 26, 2006
Last Updated: Oct 16, 2008

Practice Location

Address: 2406 MOMENTUM PL
City: Chicago
State: Illinois
ZIP Code: 60689-0001
Phone: (815) 577-2480

Authorized Official

Name: RANDOLPH P FRIESER, PT
Title: PRESIDENT SECRETARY
Phone: (312) 640-0329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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