| Functional Fitness Of Dupage, Inc | |
|
27w157 Walnut Dr Winfield IL 60190-2051 | |
| (630) 390-8417 | |
| Not Available |
| Full Name | Functional Fitness Of Dupage, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 27w157 Walnut Dr, Winfield, Illinois |
| Authorized Official Name and Position | Tanner Shultz (CLINICAL EXERCISE PHYSIOLOGIST) |
| Authorized Official Contact | 6303908417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Fitness Of Dupage, Inc 27w157 Walnut Dr Winfield IL 60190-2051 Ph: (630) 390-8417 | Functional Fitness Of Dupage, Inc 27w157 Walnut Dr Winfield IL 60190-2051 Ph: (630) 390-8417 |
| NPI Number | 1861960601 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 11/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861960601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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