MEDICARE: QUALITY THERAPY P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		IL

General Provider Information

NPI Number	:	1912119801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY THERAPY P.C.

Provider Business Mailing Address
First Line	:	1634 E 53RD ST
Second Line	:	#106
City	:	CHICAGO
State	:	IL
Zip	:	60615-4389
Country	:	US
Telephone Number	:	773-430-7167
Fax Number	:	773-324-5163

Provider Business Practice Location Address
First Line	:	1634 E 53RD ST
Second Line	:	#106
City	:	CHICAGO
State	:	IL
Zip	:	60615-4389
Country	:	US
Telephone Number	:	773-430-7167
Fax Number	:	773-324-5163

Authorized Official
Title or Position	:	PRESIDENT THERAPIST
Name	:	KATHY JO WEBB
Credential	:	MPA,OTRL
Telephone Number	:	773-430-7167

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

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