Advance Core Physical Therapy And Wellness Pllc | |
5300 N Lincoln Ave Ste A, Chicago, IL 60625-8035 | |
(646) 400-4764 | |
Not Available |
Full Name | Advance Core Physical Therapy And Wellness Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 5300 N Lincoln Ave Ste A, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487226312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Mariana D Moise |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912030941 PECOS PAC ID: 1759488299 Enrollment ID: I20141204001228 |
Provider Name | Diana Rose Sabac Apilan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760175020 PECOS PAC ID: 5496190910 Enrollment ID: I20240223003025 |
Mailing Address | Practice Location Address |
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Advance Core Physical Therapy And Wellness Pllc 2500 Windsor Mall Apt 3e, Park Ridge, IL 60068-3639 Ph: (646) 400-4764 | Advance Core Physical Therapy And Wellness Pllc 5300 N Lincoln Ave Ste A, Chicago, IL 60625-8035 Ph: (646) 400-4764 |
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