Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SUBURBAN PHYSICAL THERAPY INC
Active
Organization
SUBURBAN PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIMITKUMAR P SHAH PHYSICAL THERAPIST (PRESIDENT)
(630) 605-2894
Entity
Organization
Contact information
Practice address
3239 S GROVE AVE, STE #100, BERWYN, IL 60402
(708) 637-5020
(708) 484-7446
Mailing address
106 INDIAN TRAIL RD, OAK BROOK, IL 60523
(708) 484-7886
(708) 484-7446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632618
BLUECROSS BLUESHIELD
IL
05
—
367195244001
—
IL
Enumeration date
02/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up