Healthcare Provider Details

I. General information

NPI: 1477708915
Provider Name (Legal Business Name): TURNING POINT THERAPIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W LOCUST ST
FAIRBURY IL
61739-1550
US

IV. Provider business mailing address

215 W LOCUST ST
FAIRBURY IL
61739-1550
US

V. Phone/Fax

Practice location:
  • Phone: 815-692-2270
  • Fax: 815-692-2280
Mailing address:
  • Phone: 815-692-2270
  • Fax: 815-692-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070014722
License Number StateIL

VIII. Authorized Official

Name: WILLIAM LEE NOONAN
Title or Position: PHYSICAL THERAPIST/ OWNER
Credential: MPT
Phone: 815-692-2270