Healthcare Provider Details

I. General information

NPI: 1912707761
Provider Name (Legal Business Name): WIN PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2025
Last Update Date: 03/19/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 MOON LAKE BLVD # 220
HOFFMAN ESTATES IL
60169-1069
US

IV. Provider business mailing address

305 LANCASTER AVE
PROSPECT HEIGHTS IL
60070-1420
US

V. Phone/Fax

Practice location:
  • Phone: 847-989-6357
  • 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: MELISSA WINTERHALTER
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT
Phone: 847-989-6357