Invictus Sports Medicine LLC
NPI #1639673130 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1639673130
- Entity Type
- Organization
- Organization Name
- Invictus Sports Medicine LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 20, 2018
- Last Updated
- Apr 14, 2018
Practice Location
- Address
- 28430 N BALLARD DR
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-4508
- Phone
- (847) 980-6826
Authorized Official
- Name
- DR. AMADOR AYALA III, DPT
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (847) 980-6826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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