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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROFESSIONAL HEALTH SPORT, INC.

Active Organization

PROFESSIONAL HEALTH SPORT, INC. is a General Practice organization located in CHICAGO, Illinois. NPI 1063632917 is currently active in the NPPES registry. Verify at CMS.

General Practice · CHICAGO, IL

Registration Details

NPI Number
1063632917
Provider Type
Organization
NPI Issued
Apr 25, 2007 (19.33126208966 yrs)
Last Updated
Oct 1, 2007

Practice Information

Address
6288 N CICERO AVE
CHICAGO, IL, 606464918
Browse IL providers · Browse ZIP 60646
Phone
7732051418
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.