Healthcare Provider Details

I. General information

NPI: 1962680884
Provider Name (Legal Business Name): NO PLACE LIKE HOME PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 WEATHERSTONE RD
CRYSTAL LAKE IL
60014-4521
US

IV. Provider business mailing address

4220 WEATHERSTONE RD
CRYSTAL LAKE IL
60014-4521
US

V. Phone/Fax

Practice location:
  • Phone: 815-356-5176
  • Fax: 815-356-5190
Mailing address:
  • Phone: 815-356-5176
  • Fax: 815-356-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. SHARON ANN WEISE
Title or Position: PRESIDENT
Credential: P.T.
Phone: 815-356-5176