TCM PHYSICAL THERAPY, INC.
Restorative Service Providers at Nancy Dr, Bull Valley, IL

License number
Illinois 070.007032
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: CONNIE MYJAK
Title: PRESIDENT
Phone: (815) 245-3845
Address
Address
4421 S Nancy Dr, Bull Valley, IL 60014
National Provider ID: 1093085060
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TCM PHYSICAL THERAPY, INC

Bull Valley, IL

Industry:
Health Practitioner's Office
Registration:
Dec 7, 2011
Addresses:
Crystal Lake, IL 60014 (Physical)
4421 S Nancy Dr, Bull Valley, IL 60014
State ID:
68082021
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Owner, Partner, President:
Connie L. Myjak (Owner, Partner, President)
Agent:
Connie L Myjak,4421 S Nancy Dr, Crystal Lake, IL 60014 (Physical)

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