North Suburban Physical Therapy, P.c.

NPI #1588989057 in Lindenhurst, Illinois

Provider Information

NPI Number: 1588989057
Entity Type: Organization
Organization Name: North Suburban Physical Therapy, P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Mar 28, 2010
Last Updated: Mar 28, 2010

Practice Location

Address: 3021 FALLING WATERS BLVD
City: Lindenhurst
State: Illinois
ZIP Code: 60046-6793
Phone: (630) 674-3210

Authorized Official

Name: DR. RYAN KENNETH BAGLEY, PT
Title: PRESIDENT
Phone: (630) 674-3210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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