<Unavail>

LBN: Revolution Ptwl Llc
<Unavail> is an health care organization with primary practice located at 845 N Michigan Ave Suite 973W, Chicago IL 60611. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Dietary & Nutritional Service Providers / Dietitian, Registered, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Revolution Ptwl Llc can be contacted via phone (312) 878-8800, or through Frieser, Randolph via phone (312) 878-8800.

Contact Information

Primary practice address
845 N Michigan Ave Suite 973W Chicago IL 60611
Phone: (312) 878-8800
Fax: (312) 448-9978
Website:
Map and Directions
Authorized official contact:
Name: Frieser, Randolph
Phone: (312) 878-8800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1164766606
LBN Legal business name Revolution Ptwl Llc
DBA Doing business as <Unavail>
Authorized official Frieser, Randolph
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2012
Last updated Jun 6th, 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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