DIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC is a rehabilitation clinic center in Northlake, IL. DIVINE PROVIDENCE OUTPATIENT THERAPY SERVICES, LLC NPI is 1245537976. The provider is registered as an organization entity type.
The provider's business location address is:
401 W LAKE ST
SUITE B-101 CONCORD PLACE
NORTHLAKE, IL
ZIP 60164-435
Phone: (773) 433-3320
Fax: (733) 433-3331
The provider's authorized official is Arnold Donato .
The authorized official title is Mbr and has the following contact phone number (773) 433-3320.
The enumeration date for this NPI number is 2/15/2011 and was last updated on 2/15/2011.