Fmdce/ Montclare Physical Therapy

NPI #1699975003 in Evanston, Illinois

Provider Information

NPI Number: 1699975003
Entity Type: Organization
Organization Name: Fmdce/ Montclare Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jul 23, 2007
Last Updated: Jul 23, 2007

Practice Location

Address: 1927 SHERMAN AVE
Address 2: SUITE #3
City: Evanston
State: Illinois
ZIP Code: 60201-6100
Phone: (847) 328-7316

Authorized Official

Name: MR. ANDREW M BARTKOWSKI, M.SC., R.P.T.
Title: PRESIDENT
Phone: (847) 328-7316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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