| Rehab And Sports Med Outfitters, Inc | |
|
312 Morgan Valley Dr Oswego IL 60543-8038 | |
| (630) 383-9404 | |
| Not Available |
| Full Name | Rehab And Sports Med Outfitters, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 312 Morgan Valley Dr, Oswego, Illinois |
| Authorized Official Name and Position | Mark P Naso (CEO) |
| Authorized Official Contact | 6303839404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehab And Sports Med Outfitters, Inc 110 Kirkland Cir Ste H Oswego IL 60543-8068 Ph: (630) 383-9404 | Rehab And Sports Med Outfitters, Inc 312 Morgan Valley Dr Oswego IL 60543-8038 Ph: (630) 383-9404 |
| NPI Number | 1114300654 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114300654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 056005093 (Illinois) | Primary |
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