MEDICARE: KINETIC CARE LLC

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

General Provider Information

NPI Number	:	1528914116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINETIC CARE LLC

Provider Business Mailing Address
First Line	:	301 CROMWELL CT
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-2697
Country	:	US
Telephone Number	:	224-766-6635
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 CROMWELL CT
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-2697
Country	:	US
Telephone Number	:	224-766-6635
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KLARIZZ MONTESCO
Credential	:	PT
Telephone Number	:	224-766-6635

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “KINETIC CARE LLC ” Practice Location

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