# POWERS PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396977765
- **Authorized official:** JANET MCCABE POWERS PHYSICAL THERAPY (OWNER)
- **Authorized official phone:** (847) 853-4405

## Contact information

- **Practice address:** 3545 LAKE AVE, SUITE 203, WILMETTE, IL 60091-1058
- **Practice address phone:** (847) 853-4405
- **Practice address fax:** (847) 853-4410
- **Mailing address:** 3545 LAKE AVE, SUITE 203, WILMETTE, IL 60091-1058
- **Mailing address phone:** (847) 853-4405
- **Mailing address fax:** (847) 853-4410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 070.007771 | IL | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 10/09/2009