Healthcare Provider Details

I. General information

NPI: 1316875727
Provider Name (Legal Business Name): THE PHYSICIANS ON US
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 E OHIO ST
CHICAGO IL
60611-3265
US

IV. Provider business mailing address

100 E ONTARIO ST
CHICAGO IL
60611-2806
US

V. Phone/Fax

Practice location:
  • Phone: 224-280-9743
  • Fax:
Mailing address:
  • Phone: 224-280-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State

VIII. Authorized Official

Name: VINCENT J EDWARDS
Title or Position: PRESIDENT
Credential:
Phone: 224-280-9743