MEDICARE: APT SERVICES 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	70010859	IL

General Provider Information

NPI Number	:	1881626299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APT SERVICES LLC

Provider Business Mailing Address
First Line	:	4108 N PORT DR
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61109-7314
Country	:	US
Telephone Number	:	815-505-4441
Fax Number	:	630-206-0119

Provider Business Practice Location Address
First Line	:	4108 N PORT DR
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61109-7314
Country	:	US
Telephone Number	:	815-505-4441
Fax Number	:	630-206-0119

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	BERNARD ADENIX YAUN
Credential	:	PT
Telephone Number	:	815-505-4441

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	03/29/2009

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Directions to “APT SERVICES LLC ” Practice Location

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