Organization
MIDWEST PHYSICAL THERAPY CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVINDER DEOL (PRACTICE ADMINISTRATOR)
(630) 285-8007
Entity
Organization
Contact information
Practice address
1435 N RANDALL RD, SUITE 105, ELGIN, IL 60123-2306
(847) 214-1305
(847) 214-1364
Mailing address
1000 E STATE PKWY, SUITE E, SCHAUMBURG, IL 60173-4569
(630) 285-8007
(630) 285-8017
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL3561
MEDICARE PTAN
IL
Enumeration date
04/12/2011
Last updated
07/10/2012
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