SearchIllinois225100000X

Brian Pedersen, PT

NPI 1285922146 · on the registry since 2011

Practice

Address
4607 Golf Rd
Skokie, IL 60076
Phone
(847) 673-5073
Fax
(847) 673-2475
Organisation at this address
Athletico Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois