Healthcare Provider Details

I. General information

NPI: 1881267748
Provider Name (Legal Business Name): THERAPYFORCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 SARATOGA DR
AURORA IL
60502-9035
US

IV. Provider business mailing address

503 SARATOGA DR
AURORA IL
60502-9035
US

V. Phone/Fax

Practice location:
  • Phone: 630-740-1828
  • Fax:
Mailing address:
  • Phone: 630-740-1828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAVI REDDY
Title or Position: OWNER
Credential: PT
Phone: 630-740-1828