Healthcare Provider Details

I. General information

NPI: 1467373142
Provider Name (Legal Business Name): ALBATROSS OPC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14225 S 95TH AVE STE 420
ORLAND PARK IL
60462-2393
US

IV. Provider business mailing address

14225 S 95TH AVE STE 420
ORLAND PARK IL
60462-2393
US

V. Phone/Fax

Practice location:
  • Phone: 630-446-5660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SANJOY ROY
Title or Position: OWNER
Credential: PT
Phone: 312-523-8544