Divine Providence Outpatient Therapy Services, LLC

NPI #1245537976 in Northlake, Illinois

Provider Information

NPI Number
1245537976
Entity Type
Organization
Organization Name
Divine Providence Outpatient Therapy Services, LLC
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Feb 15, 2011
Last Updated
Feb 15, 2011

Practice Location

Address
401 W LAKE ST
Address 2
SUITE B-101 CONCORD PLACE
ZIP Code
60164-2435
Phone
(773) 433-3320

Authorized Official

Name
MR. ARNOLD DONATO
Title
MBR
Phone
(773) 433-3320

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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