Yorkville Physical Therapy and Sports Medicine Center, LLC

NPI #1053365403 in Aurora, Illinois

Provider Information

NPI Number: 1053365403
Entity Type: Organization
Organization Name: Yorkville Physical Therapy and Sports Medicine Center, LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 20, 2006
Last Updated: Dec 17, 2007

Practice Location

Address: 1900 OGDEN AVE
Address 2: SUITE 205
City: Aurora
State: Illinois
ZIP Code: 60504-4273
Phone: (630) 553-0349

Authorized Official

Name: CHARLES CLARK, P.T.
Title: OWNER
Phone: (630) 978-6218

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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