Wentzel Shore Capital, INC

NPI #1578961793 in Huntley, Illinois

Provider Information

NPI Number: 1578961793
Entity Type: Organization
Organization Name: Wentzel Shore Capital, INC
Subpart: Yes (part of a larger organization)
Parent Organization: WENTZEL SHORE CAPITAL, INC.
Primary Specialty: Physical Therapist
Enumeration Date: Dec 22, 2014
Last Updated: Dec 22, 2014

Practice Location

Address: 10719 DUNDEE RD
City: Huntley
State: Illinois
ZIP Code: 60142-9706
Phone: (847) 515-3366

Authorized Official

Name: DR. AMY D ZORNOW, DPT
Title: PRESIDENT
Phone: (847) 515-3366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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