MEDICARE: PEAK THERAPEUTICS, 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	174400000X	Specialist	060004284	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	DC3951	OTHER	IL	MEDICARE RAILROAD-PALMETTO GBA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01634372	OTHER	IL	BCBS GROUP NO.
2	200573902	OTHER	IL	TRANSIT REHABILITATION CENTERS OF CHICAGO
3	1618443	OTHER	IL	BCBS GROUP NO.
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558390849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK THERAPEUTICS, LTD

Provider Business Mailing Address
First Line	:	3545 LAKE AVE
Second Line	:	SUITE 103
City	:	WILMETTE
State	:	IL
Zip	:	60091-1058
Country	:	US
Telephone Number	:	847-906-2025
Fax Number	:	847-512-5064

Provider Business Practice Location Address
First Line	:	3545 LAKE AVE
Second Line	:	SUITE 103
City	:	WILMETTE
State	:	IL
Zip	:	60091-1058
Country	:	US
Telephone Number	:	847-906-2025
Fax Number	:	847-512-5064

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES KEVIN BUSKIRK
Credential	:	P.T.
Telephone Number	:	847-906-2025

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	02/20/2013

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Directions to “PEAK THERAPEUTICS, LTD ” Practice Location

Language	Start Address	Practice Location

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