Healthcare Provider Details

I. General information

NPI: 1710035308
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2326 W HIGGINS RD
HOFFMAN ESTATES IL
60195-2413
US

IV. Provider business mailing address

2326 W HIGGINS RD
HOFFMAN ESTATES IL
60195-2413
US

V. Phone/Fax

Practice location:
  • Phone: 847-519-0300
  • Fax: 847-519-0351
Mailing address:
  • Phone: 847-519-0300
  • Fax: 847-519-0351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE LEECH
Title or Position: CONTROLLER
Credential:
Phone: 901-685-7227