Premium Physical Therapy

NPI #1497809818 in Homewood, Illinois

Provider Information

NPI Number
1497809818
Entity Type
Organization
Organization Name
Premium Physical Therapy
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jan 23, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
17901 GOVERNORS HWY
Address 2
SUITE 204
ZIP Code
60430-1144
Phone
(708) 957-3300

Authorized Official

Name
MR. EYAEMA EKENG AANAMNDU
Title
EXECUTIVE DIRECTOR
Phone
(708) 957-3300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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