MEDICARE: CITY NORTH 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

General Provider Information

NPI Number	:	1598337644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY NORTH PHYSICAL THERAPY LTD

Provider Business Mailing Address
First Line	:	710 N DEARBORN ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-5900
Country	:	US
Telephone Number	:	312-819-2849
Fax Number	:	312-786-4669

Provider Business Practice Location Address
First Line	:	6232 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-5132
Country	:	US
Telephone Number	:	312-437-1129
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARC STRONGIN
Credential	:	DC
Telephone Number	:	312-451-4913

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	07/16/2021

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