Healthcare Provider Details

I. General information

NPI: 1679324073
Provider Name (Legal Business Name): PRECISION PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 BEECH DR
GLENVIEW IL
60025-3249
US

IV. Provider business mailing address

401 BEECH DR
GLENVIEW IL
60025-3249
US

V. Phone/Fax

Practice location:
  • Phone: 773-245-3040
  • Fax:
Mailing address:
  • Phone: 845-216-0620
  • 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: DR. JASON KART
Title or Position: OWNER
Credential: PT, DPT
Phone: 773-245-3040