Healthcare Provider Details

I. General information

NPI: 1265164735
Provider Name (Legal Business Name): PFG THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23627 W. CHICAGO ST.
PLAINFIELD IL
60544-1803
US

IV. Provider business mailing address

23627 W. CHICAGO ST.
PLAINFIELD IL
60544-1803
US

V. Phone/Fax

Practice location:
  • Phone: 815-735-1228
  • Fax:
Mailing address:
  • Phone: 815-735-1228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARGARET ANN RUZICH
Title or Position: CO-OWNER
Credential: OTD, OTR/L
Phone: 815-735-1228