Healthy Connection Physical Medicine INC

NPI #1770860124 in Lockport, Illinois

Provider Information

NPI Number: 1770860124
Entity Type: Organization
Organization Name: Healthy Connection Physical Medicine INC
Primary Specialty: General Practice
Enumeration Date: Nov 14, 2011
Last Updated: Aug 13, 2013

Practice Location

Address: 16626 W 159TH ST
Address 2: SUITE700
City: Lockport
State: Illinois
ZIP Code: 60441-8018
Phone: (815) 834-9075

Authorized Official

Name: VICTOR PUODZIUNAS
Title: TREASURER
Phone: (815) 834-9075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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