Whalio Doctors

NPI 1023889896

Prestige Therapy, LLC

Organisation Public Health or Welfare Agency Mokena, IL

Practice location

Address
10062 W 190th Pl STE 114, Mokena, IL 60448-8757
Phone
(708) 590-9870
Mailing address
23965 S Old Farm Rd, Manhattan, IL 60442-1020

Authorised official

Name
Caitlin Deborah Suerth
Title
Owner
Phone
(708) 590-9870

Registered specialties

Public Health or Welfare Agency Primary
Agencies Taxonomy 251K00000X

Registry record

NPI
1023889896
Entity type
Organization
NPI issued
11 Jan 2024
Record last updated
11 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.