Healthcare Provider Details

I. General information

NPI: 1982944799
Provider Name (Legal Business Name): A PLUS PLUS THERAPY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 W BERWYN AVE
CHICAGO IL
60640-2301
US

IV. Provider business mailing address

1113 W BERWYN AVE
CHICAGO IL
60640-2301
US

V. Phone/Fax

Practice location:
  • Phone: 773-944-1532
  • Fax:
Mailing address:
  • Phone: 773-944-1532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070019377
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070011636
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070011653
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070006155
License Number StateIL

VIII. Authorized Official

Name: MR. ROBERT JOSEPH SZABO
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 773-944-1532