Healthcare Provider Details

I. General information

NPI: 1992165609
Provider Name (Legal Business Name): MME SERVIES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2016
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 N MCLEAN BLVD
ELGIN IL
60123-1782
US

IV. Provider business mailing address

PO BOX 641
HINSDALE IL
60522-0641
US

V. Phone/Fax

Practice location:
  • Phone: 312-375-6255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MR. LUIS MALDONADO
Title or Position: OWNER
Credential: P.T.
Phone: 312-375-6255