| Organization Name: | RTP SPORTS MEDICINE AND PHYSICAL THERAPY LLC |
| NPI Number: | 1003216573 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES STEPANICH (PRESIDENT) |
| Mailing Address: | 1835 N 19th Ave Suite 206 Melrose Park |
| State: | IL US |
| Postal Code: | 601602040 |
| Phone Number: | 7083974010 |
| Fax Number: | 7083974011 |
| NPI Enumeration Date: | 09/02/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |