Organization
MIDWEST PHYSICAL THERAPY CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVINDER DEOL (PRACTICE ADMINISTRATOR)
(630) 285-8007
Entity
Organization
Contact information
Practice address
901 BIESTERFIELD RD, SUITE 310, ELK GROVE VILLAGE, IL 60007-3392
(847) 437-7070
(847) 437-1080
Mailing address
901 BIESTERFIELD RD, SUITE 310, ELK GROVE VILLAGE, IL 60007-3392
(847) 437-7070
(847) 437-1080
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621171
BCBS PROVIDER NUMBER
IL
Enumeration date
02/19/2007
Last updated
08/22/2020
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