Eastern Iowa Therapeutics Pc in Chicago - Orthopedic
Eastern Iowa Therapeutics Pc - NPI 1023064144
Eastern Iowa Therapeutics Pc is a Orthopedic in Chicago, Illinois. Eastern Iowa Therapeutics Pc practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Eastern Iowa Therapeutics Pc is 1023064144. The last update date is 2008-10-16.
Eastern Iowa Therapeutics Pc's current location address is 2406 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 8155772480 and fax number 8155777535. The mailing address for Eastern Iowa Therapeutics Pc is 2406 Momentum Pl, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastern Iowa Therapeutics Pc |
|---|---|
| Address | 2406 Momentum Pl, Chicago, Illinois |
| Phone Number | 8155772480 |
| Fax Number | 8155777535 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Frieser P Randolph |
| Credentials | PT |
| Telephone Number | 3126400329 |
NPI Number Detail
| NPI Number | 1023064144 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2008-10-16 |
Provider Mailing Address Detail
| Address | 2406 Momentum Pl |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606890001 |
| Phone Number | 8155772480 |
| Fax Number | 8155777535 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 429076 | IA | -- | |
| 665026 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eastern Iowa Therapeutics Pc by the Centers for Medicare & Medicaid Services?
The Eastern Iowa Therapeutics Pc has been assigned the NPI (National Provider Identifier) 1023064144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Eastern Iowa Therapeutics Pc?
The Eastern Iowa Therapeutics Pc is physically situated at 2406 Momentum Pl, in the city of Chicago, state of IL, with the postal code 606890001.
What is Eastern Iowa Therapeutics Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eastern Iowa Therapeutics Pc's area of specialization is Orthopedic, and the corresponding taxonomy code that categorizes this field of practice is 2251X0800X.
When did the Eastern Iowa Therapeutics Pc receive its 1023064144?
The Eastern Iowa Therapeutics Pc was issued its 1023064144 on 2006-05-26, which is the date when the organization was assigned this unique identifier.
When was the Eastern Iowa Therapeutics Pc's information last updated?
The Eastern Iowa Therapeutics Pc's information was last updated on 2008-10-16.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY