Organization
ILLINOIS MOBILE THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDRIS OMOSANYA PT, DPT (PHYSICAL THERAPIST)
(708) 268-0862
Entity
Organization
Contact information
Practice address
1750 E 87TH ST STE 103, CHICAGO, IL 60617-2706
(800) 618-6612
(708) 218-9112
Mailing address
1750 E 87TH ST STE 103, CHICAGO, IL 60617-2706
(800) 618-6612
(708) 218-9112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019896
IL
225X00000X
Occupational Therapist
056005754
IL
Other
Enumeration date
08/28/2013
Last updated
02/26/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us