Healthcare Provider Details
I. General information
NPI: 1558397851
Provider Name (Legal Business Name): INTEGRITY PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2006
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3232 N LINCOLN AVE
CHICAGO IL
60657-1106
US
IV. Provider business mailing address
2300 COIT RD SUITE 300
PLANO TX
75075-3768
US
V. Phone/Fax
- Phone: 773-525-1533
- Fax: 773-935-1755
- Phone: 469-467-8705
- Fax: 267-321-2550
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
S.
BINSTEIN
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 610-644-7824