Elite Sport Therapy & Wellness

LBN: Elite Sport Therapy & Wellness
Elite Sport Therapy & Wellness is an health care organization with primary practice located at 1200 Old Skokie Valley Rd , Highland Park IL 60035-3036. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Elite Sport Therapy & Wellness can be contacted via phone (847) 748-8804, or through Pullukat, Sunil via phone (847) 748-8804.

Contact Information

Primary practice address
1200 Old Skokie Valley Rd Highland Park IL 60035-3036
Phone: (847) 748-8804
Fax: (847) 495-2162
Website:
Map and Directions
Authorized official contact:
Name: Pullukat, Sunil Doctor of Chiropractic (DC)
Phone: (847) 748-8804

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1710505847
LBN Legal business name Elite Sport Therapy & Wellness
DBA Doing business as
Authorized official Pullukat, Sunil Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2020
Last updated Jul 6th, 2020 - about 4 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 1710505847 NPPES
Illinois Other 12469650 CAQH

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