MEDICARE: PHYSICIANS PLUS, 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	225400000X	Rehabilitation Practitioner		IL

General Provider Information

NPI Number	:	1972620441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS PLUS, LTD

Provider Business Mailing Address
First Line	:	6224 S PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-4610
Country	:	US
Telephone Number	:	773-735-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	6224 S PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-4610
Country	:	US
Telephone Number	:	773-735-8200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARK S COHEN
Credential	:	DC
Telephone Number	:	773-735-8200

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	08/22/2020

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