Waukegan Medical & Rehabilitation

NPI #1114348349 in Waukegan, Illinois

Provider Information

NPI Number
1114348349
Entity Type
Organization
Organization Name
Waukegan Medical & Rehabilitation
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Dec 13, 2013
Last Updated
Dec 13, 2013

Practice Location

Address
1720 GRAND AVE
ZIP Code
60085-3502
Phone
(847) 625-0202

Authorized Official

Name
DR. IVAN BRACIC, D.C.
Title
PRESIDENT/OWNER
Phone
(847) 625-0202

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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