A Big Blast Project

NPI #1609010545 in Glenview, Illinois

Provider Information

NPI Number: 1609010545
Entity Type: Organization
Organization Name: A Big Blast Project
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Apr 22, 2009
Last Updated: May 6, 2011

Practice Location

Address: 2210 LINNEMAN ST
City: Glenview
State: Illinois
ZIP Code: 60025-4168
Phone: (847) 650-8161

Authorized Official

Name: RHONDA PENZELL
Title: PRESIDENT
Phone: (847) 650-8161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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