Organization
MIDWEST PHYSICAL THERAPY CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG L KRUSE PT (DIRECTOR OF PHYSICAL THERAPY)
(630) 285-8007
Entity
Organization
Contact information
Practice address
1000 E STATE PKWY, SUITE E, SCHAUMBURG, IL 60173-4569
(630) 285-8007
(630) 285-8017
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
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001621171
BCBS PROVIDER NUMBER
IL
Enumeration date
08/10/2006
Last updated
07/10/2012
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