Centerimt Chicago Il PC

NPI #1184676835 in Elmhurst, Illinois

Provider Information

NPI Number: 1184676835
Entity Type: Organization
Organization Name: Centerimt Chicago Il PC
Primary Specialty: Physical Therapist
Enumeration Date: May 17, 2006
Last Updated: Mar 30, 2009

Practice Location

Address: 180 W. PARK AVE.
Address 2: STE. 250
City: Elmhurst
State: Illinois
ZIP Code: 60126-3357
Phone: (630) 279-0032

Authorized Official

Name: MEEJUNG JANE PARK, M.P.T., I.M.T., C.
Title: PRACTICE MANAGER
Phone: (630) 279-0032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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