Organization
PEAK THERAPEUTICS, LTD
Active
Other names
Peak and Balance Centers of America
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KEVIN BUSKIRK P.T. (PRESIDENT)
(847) 906-2025
Entity
Organization
Contact information
Practice address
3545 LAKE AVE, SUITE 103, WILMETTE, IL 60091-1058
(847) 906-2025
(847) 512-5064
Mailing address
3545 LAKE AVE, SUITE 103, WILMETTE, IL 60091-1058
(847) 906-2025
(847) 512-5064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
060004284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634372
BCBS GROUP NO.
IL
01
—
1618443
BCBS GROUP NO.
IL
01
—
200573902
TRANSIT REHABILITATION CENTERS OF CHICAGO
IL
05
—
236963283001
—
IL
01
—
DC3951
MEDICARE RAILROAD-PALMETTO GBA
IL
Enumeration date
07/01/2006
Last updated
02/20/2013
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