Organization
TERRANCE BRENDAN
Active
Organization
TERRANCE BRENDAN
Active
Other names
Shea Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE BRENDAN SHEA PT (OWNER/PHYSICAL THERAPIST)
(847) 541-4878
Entity
Organization
Contact information
Practice address
985 S BUFFALO GROVE RD, BUFFALO GROVE, IL 60089-3702
(847) 541-4878
(847) 520-0500
Mailing address
985 S BUFFALO GROVE RD, BUFFALO GROVE, IL 60089-3702
(847) 541-4878
(847) 520-0500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633096
BCBS
IL
Enumeration date
09/01/2005
Last updated
08/22/2020
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