| Organization Name: | DYNAPEAK FITNESS AND PHYSICAL THERAPY, PC |
| NPI Number: | 1033509914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DINA PETRICCA (OWNER/PRESIDENT) |
| Mailing Address: | 116 S Hi Lusi Ave Mount Prospect |
| State: | IL US |
| Postal Code: | 600563025 |
| Phone Number: | 8473725735 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2015 |
| NPI Last Update Date: | 01/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 070009748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |