Mickow Ce Physical Therapy, LLC

NPI #1235603945 in Highland Park, Illinois

Provider Information

NPI Number: 1235603945
Entity Type: Organization
Organization Name: Mickow Ce Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 15, 2019
Last Updated: Feb 12, 2019

Practice Location

Address: 1200 OLD SKOKIE VALLEY RD
City: Highland Park
State: Illinois
ZIP Code: 60035-3036
Phone: (847) 748-8804

Authorized Official

Name: CHELSEA ELLIS, PT
Title: PRESIDENT
Phone: (847) 748-8804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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