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Contact Information

SELECT PHYSICAL THERAPY OF ILLINOIS LIMITED PARTNERSHIP
820 E TERRA COTTA AVE
STE 102
CRYSTAL LAKE, IL60014
 Phone: 815-455-3262
 Fax: 815-455-2729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for SELECT PHYSICAL THERAPY OF ILLINOIS LIMITED PARTNERSHIP

NPI Number 1104885136
LBN Legal business name SELECT PHYSICAL THERAPY OF ILLINOIS LIMITED PARTNERSHIP
Authorized official MICHAEL TARVIN - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2006
Last updated 09/01/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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