Healthcare Provider Details

I. General information

NPI: 1699295683
Provider Name (Legal Business Name): THERAPY PLUS HEALTH SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 SKOKIE BLVD STE F
SKOKIE IL
60077-1384
US

IV. Provider business mailing address

1014 QUEENS LN
GLENVIEW IL
60025-1942
US

V. Phone/Fax

Practice location:
  • Phone: 847-674-4450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MIKOLAJ F GOZDALSKI
Title or Position: PRESIDENT
Credential:
Phone: 847-674-4450