LEONARD WANTA SC

BURR RIDGE, IL
NPI1023564085
Doing Business AsDISTINCTIVE THERAPY SERVICES
Entity TypeOrganization
Authorized ContactLEONARD WANTA
President
630-789-8962
Organization Subpart ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: IL  070021814)
Enumeration Date2016-08-30
Last Update Date2016-08-30
Business Address
LEONARD WANTA SC
126 CIRCLE RIDGE DR
BURR RIDGE, IL 60527-8379
Phone number: 630-789-8962
Mailing Address
LEONARD WANTA SC
126 CIRCLE RIDGE DR
BURR RIDGE, IL 60527-8379
Phone number: 630-789-8962