Organization
THERASYS CORPORATION
Active
Organization
THERASYS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY BAUGH CFO (CHIEF FINANCIAL OFFICER)
(847) 631-6227
Entity
Organization
Contact information
Practice address
10751 163RD PL, ORLAND PARK, IL 60467-8861
(708) 349-3377
(708) 349-7430
Mailing address
5005 NEWPORT DR, SUITE 401, ROLLING MEADOWS, IL 60008-3832
(847) 631-6227
(847) 797-1337
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635363
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/24/2006
Last updated
08/22/2020
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