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NPI Code Detail

MEDICARE: PEAK PERFORMANCE HEALTH CENTER LTD

MEDICARE: PEAK PERFORMANCE HEALTH CENTER LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1497766257
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAK PERFORMANCE HEALTH CENTER LTD
Provider Business Mailing Address
First Line : 1749 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5877
Country : US
Telephone Number : 312-440-9646
Fax Number : 866-769-9780
Provider Business Practice Location Address
First Line : 1749 N WELLS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5877
Country : US
Telephone Number : 312-440-9646
Fax Number : 866-769-9780
Authorized Official
Title or Position : OWNER
Name : STEVE ARCULEO
Credential :
Telephone Number : 312-440-9646
Provider Enumeration Date : 08/10/2006
Last Update Date : 11/14/2019

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Directions to “PEAK PERFORMANCE HEALTH CENTER LTD ” Practice Location

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