Organization · Type 2 NPI
Revolution Physical Therapy Weight Loss
Clinic/Center · Chicago, IL
NPI number
1922454255
Active
Practice location
205 N. Wells St.
Chicago, IL 60606
Mailing address
211 W Wacker Dr
Chicago, IL 60606-1217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 164006766 (IL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1922454255
Revolution Physical Therapy Weight Loss's National Provider Identifier is 1922454255, issued on May 5, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on May 5, 2016.