Healthcare Provider Details

I. General information

NPI: 1356528483
Provider Name (Legal Business Name): DRS GARB & MCGUIRE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 N RANDALL RD SUITE 230
ELGIN IL
60123-9400
US

IV. Provider business mailing address

1710 N RANDALL RD SUITE 250
ELGIN IL
60123-9400
US

V. Phone/Fax

Practice location:
  • Phone: 847-931-8575
  • Fax: 847-931-8581
Mailing address:
  • Phone: 847-888-1914
  • Fax: 847-843-7474

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: ANNETTE MARTYN
Title or Position: OFFICE MANAGER
Credential:
Phone: 847-888-1914