| Physio Pr, Pllc | |
|
900 W Margate Ter Apt 1c, Chicago, IL 60640-3824 | |
| (773) 556-8569 | |
| Not Available |
| Full Name | Physio Pr, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 900 W Margate Ter Apt 1c, 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 |
|---|---|---|---|
| 1154900553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Elusegun Olopo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518412741 PECOS PAC ID: 9133415193 Enrollment ID: I20160831001378 |
| Mailing Address | Practice Location Address |
|---|---|
| Physio Pr, Pllc 900 W Margate Ter Apt 1c, Chicago, IL 60640-3824 Ph: (773) 556-8569 | Physio Pr, Pllc 900 W Margate Ter Apt 1c, Chicago, IL 60640-3824 Ph: (773) 556-8569 |
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