Healthcare Provider Details

I. General information

NPI: 1053611582
Provider Name (Legal Business Name): THERAPY SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 S HIGHLAND AVE STE 250
LOMBARD IL
60148-4933
US

IV. Provider business mailing address

1806 S HIGHLAND AVE STE 250
LOMBARD IL
60148-4933
US

V. Phone/Fax

Practice location:
  • Phone: 312-604-3740
  • Fax:
Mailing address:
  • Phone: 312-604-3740
  • 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: MR. ROBERT MIKULAK
Title or Position: PRESIDENT
Credential:
Phone: 312-604-3740