Healthcare Provider Details

I. General information

NPI: 1184822199
Provider Name (Legal Business Name): THERAPEUTIC LINKS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

998 PROGRESS DR
GRAYSLAKE IL
60030-1671
US

IV. Provider business mailing address

998 PROGRESS DR
GRAYSLAKE IL
60030-1671
US

V. Phone/Fax

Practice location:
  • Phone: 847-548-3458
  • Fax: 847-548-3459
Mailing address:
  • Phone: 847-548-3458
  • Fax: 847-548-3459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHARON SILVERBERG
Title or Position: ADMINISTRATIVE MANAGER
Credential:
Phone: 847-548-3458