Axis Physical Medicine

LBN: Axis Physical Medicine
Axis Physical Medicine is an health care organization with primary practice located at 11005 S Kedzie Ave , Chicago IL 60655. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Axis Physical Medicine can be contacted via phone (773) 239-7165, or through Hausch, Michael via phone (773) 239-7165.

Contact Information

Primary practice address
11005 S Kedzie Ave Chicago IL 60655
Phone: (773) 239-7165
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hausch, Michael Doctor of Chiropractic (DC)
Phone: (773) 239-7165

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070020316 Illinois

Profile Details

NPI number 1134533615
LBN Legal business name Axis Physical Medicine
DBA Doing business as
Authorized official Hausch, Michael Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2014
Last updated Aug 25th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134533615 NPPES
Illinois Other F400120638 PTAN/MEDICARE

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