PROFESSIONAL HEALTH SPORT, INC.

CHICAGO, IL
NPI1063632917
Entity TypeOrganization
Authorized ContactJOHN H DEHELEAN
President
773-205-1418
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Additional Taxonomies208VP0014X Pain Medicine Interventional Pain Medicine
Enumeration Date2007-04-25
Last Update Date2007-10-01
Business Address
PROFESSIONAL HEALTH SPORT, INC.
6288 N CICERO AVE
CHICAGO, IL 60646-4918
Phone number: 773-205-1418
Mailing Address
PROFESSIONAL HEALTH SPORT, INC.
6288 N CICERO AVE
CHICAGO, IL 60646-4918
Phone number: 773-205-1418