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NPI Code Detail

MEDICARE: AMERICAN PHYSICAL THERAPY & SPORTS MEDICINE CLINIC

MEDICARE: AMERICAN PHYSICAL THERAPY & SPORTS MEDICINE CLINIC
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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1235104571
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN PHYSICAL THERAPY & SPORTS MEDICINE CLINIC
Provider Business Mailing Address
First Line : 1840 SLIPPERY ROCK RD
Second Line : BHARAT MALHOTRA
City : NAPERVILLE
State : IL
Zip : 60565
Country : US
Telephone Number : 630-717-6188
Fax Number : 630-717-8842
Provider Business Practice Location Address
First Line : 1783 SOUTH WASHINGTON
Second Line : AMERICAN PHYSICAL THERAPY & SPORTS MEDICINE CLINIC
City : NAPERVILLE
State : IL
Zip : 60565
Country : US
Telephone Number : 630-717-6188
Fax Number : 630-717-8842
Authorized Official
Title or Position : PRESIDENT
Name : MRS. RENU SHARMA
Credential : ROT
Telephone Number : 630-717-6188
Provider Enumeration Date : 02/21/2006
Last Update Date : 08/22/2020

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Directions to “AMERICAN PHYSICAL THERAPY & SPORTS MEDICINE CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.