Andersonville Physical Therapy in Chicago - Physical Therapist

Andersonville Physical Therapy - NPI 1043368731

Andersonville Physical Therapy is a Physical Therapist in Chicago, Illinois. Andersonville Physical Therapy practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Andersonville Physical Therapy is 1043368731. The last update date is 2020-08-22.

Andersonville Physical Therapy's current location address is 5414 N Broadway St, Chicago, Illinois. You can contact this provider via phone number 7739073599 and fax number 7739073510. The mailing address for Andersonville Physical Therapy is 5414 N Broadway St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Andersonville Physical Therapy
Address 5414 N Broadway St, Chicago, Illinois
Phone Number 7739073599
Fax Number 7739073510
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Staszak Patricia
Telephone Number 7739073599

NPI Number Detail

NPI Number 1043368731
Provider Enumeration Date 2007-01-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5414 N Broadway St
City Chicago
State Illinois (IL)
Post Code 606401704
Phone Number 7739073599
Fax Number 7739073510

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1623236 IL BCBS

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FAQs about Andersonville Physical Therapy

What is the unique 10-digit identifier code assigned to Andersonville Physical Therapy by the Centers for Medicare & Medicaid Services?

The Andersonville Physical Therapy has been issued the NPI (National Provider Identifier) 1043368731 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Andersonville Physical Therapy is located?

The Andersonville Physical Therapy is situated at the following address: 5414 N Broadway St, Chicago, IL, 606401704.

What is Andersonville Physical Therapy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Andersonville Physical Therapy is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043368731 to Andersonville Physical Therapy?

The Centers for Medicare & Medicaid Services assigned the 1043368731 to Andersonville Physical Therapy on 2007-01-08.

As of what date was the information pertaining to Andersonville Physical Therapy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Andersonville Physical Therapy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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