MEDICARE: WEST TOWN PHYSICAL THERAPY LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	070014334	IL

General Provider Information

NPI Number	:	1023400074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST TOWN PHYSICAL THERAPY LTD.

Provider Business Mailing Address
First Line	:	1023 N ASHLAND AVE STE 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3950
Country	:	US
Telephone Number	:	773-729-2551
Fax Number	:	773-729-2556

Provider Business Practice Location Address
First Line	:	1023 N ASHLAND AVE STE 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3950
Country	:	US
Telephone Number	:	773-729-2551
Fax Number	:	773-729-2556

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. ERIN CONROY
Credential	:	DPT
Telephone Number	:	773-729-2551

Provider Enumeration Date	:	02/28/2015
Last Update Date	:	12/05/2025

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