Healthcare Provider Details

I. General information

NPI: 1598337644
Provider Name (Legal Business Name): CITY NORTH PHYSICAL THERAPY LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6232 N PULASKI RD
CHICAGO IL
60646-5132
US

IV. Provider business mailing address

710 N DEARBORN ST
CHICAGO IL
60654-5900
US

V. Phone/Fax

Practice location:
  • Phone: 312-437-1129
  • Fax:
Mailing address:
  • Phone: 312-819-2849
  • Fax: 312-786-4669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARC STRONGIN
Title or Position: OWNER
Credential: DC
Phone: 312-451-4913