Healthcare Provider Details

I. General information

NPI: 1679647424
Provider Name (Legal Business Name): NORTHWEST ORTHOPAEDIC ASSOCIATES DBA NORTHWEST PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7447 W TALCOTT SUITE 501
CHICAGO IL
60631
US

IV. Provider business mailing address

7447 W TALCOTT SUITE 501
CHICAGO IL
60631
US

V. Phone/Fax

Practice location:
  • Phone: 773-631-4112
  • Fax: 773-594-2113
Mailing address:
  • Phone: 773-631-4112
  • Fax: 773-594-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name: ALAN R MCCALL
Title or Position: CEO
Credential: MD
Phone: 773-631-7898