Organization
PROGRESSIVE THERAPEUTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK EL-SHIKH PT, DPT (OWNER, PRESIDENT.)
(708) 623-4222
Entity
Organization
Contact information
Practice address
16610 S. 107TH ST, ORLAND PARK, IL 60467-8898
(708) 364-7500
(708) 364-7555
Mailing address
16610 S. 107TH ST, ORLAND PARK, IL 60467-8898
(708) 364-7500
(708) 364-7555
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
53000087A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201070
MEDICARE PTAN
IN
01
—
IL5301
MEDICARE PTAN
IL
Enumeration date
08/20/2006
Last updated
04/17/2014
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