Healthcare Provider Details
I. General information
NPI: 1235488057
Provider Name (Legal Business Name): SYMMETRY PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2012
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4361 N LINCOLN AVE
CHICAGO IL
60618-2186
US
IV. Provider business mailing address
4361 N LINCOLN AVE # 5
CHICAGO IL
60618-2186
US
V. Phone/Fax
- Phone: 773-661-2990
- Fax: 773-661-2995
- Phone: 773-661-2990
- Fax: 773-661-2995
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | 070012904 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNE
MCJIMSEY
FARKAS
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: P.T.
Phone: 773-661-2990