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Contact Information

360 PHYSICAL THERAPY, LLC
564 W JACKSON BLVD
CHICAGO, IL60661-5702
 Phone: 312-614-1349
 Fax: 312-526-3312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for 360 PHYSICAL THERAPY, LLC

NPI # 1154651149
LBN Legal business name 360 PHYSICAL THERAPY, LLC
Authorized official ADAM WOLF - (OWNER / PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2010
Last updated 11/13/2013 - About 13 years ago
Identifiers
IL License # 070015710
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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