MEDICARE: ANAND PHYSICAL THERAPY & REHABILITATION 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	070010481	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02232180	OTHER	IL	BC/BS PROVIDER #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811903628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANAND PHYSICAL THERAPY & REHABILITATION LTD

Provider Business Mailing Address
First Line	:	6800 MAIN ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-3493
Country	:	US
Telephone Number	:	630-437-5175
Fax Number	:	630-437-5174

Provider Business Practice Location Address
First Line	:	6800 MAIN ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-3493
Country	:	US
Telephone Number	:	630-437-5175
Fax Number	:	630-437-5174

Authorized Official
Title or Position	:	OWNER
Name	:	MOHINI PANDYA
Credential	:	PT
Telephone Number	:	630-437-5175

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	09/14/2012

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