Spring Grove Physical Medicine and Rehabilatation Ltd
NPI #1851443618 in Spring Grove, Illinois
Provider Information
- NPI Number
- 1851443618
- Entity Type
- Organization
- Organization Name
- Spring Grove Physical Medicine and Rehabilatation Ltd
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 2100 ROUTE 12
- Address 2
- SUITE 101
- City
- Spring Grove
- State
- Illinois
- ZIP Code
- 60081
- Phone
- (815) 675-0675
Authorized Official
- Name
- RALPH DESTEPHANO DESTEPHANO
- Title
- PRESIDENT
- Phone
- (815) 675-0675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Physical Therapist |
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