Excel Physical Therapy | |
4001 N Broadway St, Chicago, IL 60613-2110 | |
(309) 258-1116 | |
Not Available |
Full Name | Excel Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 4001 N Broadway St, 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 |
---|---|---|---|
1730847096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Eric S Hughes |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730397449 PECOS PAC ID: 2264600055 Enrollment ID: I20110721000700 |
Mailing Address | Practice Location Address |
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Excel Physical Therapy 3121 N Kenmore Ave Apt 2, Chicago, IL 60657-3367 Ph: (309) 258-1116 | Excel Physical Therapy 4001 N Broadway St, Chicago, IL 60613-2110 Ph: (309) 258-1116 |
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