Healthcare Provider Details

I. General information

NPI: 1417876434
Provider Name (Legal Business Name): MOVERE CONCIERGE PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 PICTON RD
ROSELLE IL
60172-3503
US

IV. Provider business mailing address

240 PICTON RD
ROSELLE IL
60172-3503
US

V. Phone/Fax

Practice location:
  • Phone: 773-977-9686
  • Fax:
Mailing address:
  • Phone: 773-977-9686
  • 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: MALGORZATA AUGUSTYN
Title or Position: OWNER
Credential: PT, DPT
Phone: 773-977-9686