Midwest Physical Therapy Ctr

LBN: Midwest Physical Therapy Ctr
Midwest Physical Therapy Ctr is an health care organization with primary practice located at 630 N Rt 31 Suite 103, Crystal Lake IL 60012. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Midwest Physical Therapy Ctr can be contacted via phone (815) 455-0555, or through Deol, Devinder via phone (630) 285-8007.

Contact Information

Primary practice address
630 N Rt 31 Suite 103 Crystal Lake IL 60012
Phone: (815) 455-0555
Fax: (815) 455-4204
Website:
Map and Directions
Authorized official contact:
Name: Deol, Devinder
Phone: (630) 285-8007

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1538204508
LBN Legal business name Midwest Physical Therapy Ctr
DBA Doing business as
Authorized official Deol, Devinder
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 10th, 2012 - 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 1538204508 NPPES
Illinois Other 01621171 BCBS PROVIDER NUMBER

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