Premier Physical Therapy Pc

LBN: Premier Physical Therapy Pc
Premier Physical Therapy Pc is an health care organization with primary practice located at 3900 W 95Th St , Evergreen Park IL 60805. 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. Premier Physical Therapy Pc can be contacted via phone (630) 920-4670, or through Leonard, Krystal Nicole via phone (630) 920-4670.

Contact Information

Primary practice address
3900 W 95Th St Evergreen Park IL 60805
Phone: (630) 920-4670
Fax: (630) 920-4687
Website:
Map and Directions
Authorized official contact:
Name: Leonard, Krystal Nicole
Phone: (630) 920-4670

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070007675 Illinois

Profile Details

NPI number 1336127117
LBN Legal business name Premier Physical Therapy Pc
DBA Doing business as
Authorized official Leonard, Krystal Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 24th, 2018 - about 8 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 1336127117 NPPES
Illinois MEDICAID 594253799001

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