Healthcare Provider Details

I. General information

NPI: 1184546228
Provider Name (Legal Business Name): CENTRE PHYSICAL THERAPY RIVER FOREST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7625 LAKE ST
RIVER FOREST IL
60305-1830
US

IV. Provider business mailing address

56 KIMBARK RD
RIVERSIDE IL
60546-1912
US

V. Phone/Fax

Practice location:
  • Phone: 312-391-8752
  • Fax: 708-628-4189
Mailing address:
  • Phone: 312-391-8752
  • Fax: 708-628-4189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE STEGEMANN
Title or Position: OWNER/PT
Credential: PT
Phone: 312-391-8752