MEDICARE: 606 PHYSIO 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	:	1871211607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	606 PHYSIO LLC

Provider Business Mailing Address
First Line	:	2852 S LOWE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2511
Country	:	US
Telephone Number	:	312-529-8187
Fax Number	:	312-252-0266

Provider Business Practice Location Address
First Line	:	645 S CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-1701
Country	:	US
Telephone Number	:	312-529-8187
Fax Number	:	312-252-0266

Authorized Official
Title or Position	:	OWNER
Name	:	BRADLEY TROMPETER
Credential	:	PT
Telephone Number	:	312-217-2550

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	12/12/2025

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