MEDICARE: ARC-HEALTH, PAIN MANAGEMENT AND PHYSICAL THERAPY CENTER

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	174400000X	Specialist

General Provider Information

NPI Number	:	1508061391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARC-HEALTH, PAIN MANAGEMENT AND PHYSICAL THERAPY CENTER

Provider Business Mailing Address
First Line	:	977 LAKEVIEW PKWY STE 103
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1444
Country	:	US
Telephone Number	:	847-932-1079
Fax Number	:	847-932-1082

Provider Business Practice Location Address
First Line	:	977 LAKEVIEW PKWY STE 103
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1444
Country	:	US
Telephone Number	:	847-932-1079
Fax Number	:	847-932-1082

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	NEELESH PATEL
Credential	:
Telephone Number	:	847-932-1079

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	09/17/2007

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