Healthcare Provider Details

I. General information

NPI: 1053829226
Provider Name (Legal Business Name): FCE UNLIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 01/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1446 OLD SKOKIE VALLEY RD
HIGHLAND PARK IL
60035-3032
US

IV. Provider business mailing address

843 SUTTON CT
LINCOLNSHIRE IL
60069-3431
US

V. Phone/Fax

Practice location:
  • Phone: 847-630-5341
  • Fax:
Mailing address:
  • Phone: 847-630-5341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number070012238
License Number StateIL

VIII. Authorized Official

Name: ILONA M SLOWINSKA
Title or Position: OWNER
Credential: PT
Phone: 847-630-5341