Organization Name: | CORE PT LIMITED PARTNERSHIP |
NPI Number: | 1043231970 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD BINSTEIN (VP/AUTHORIZED OFFICIAL) |
Mailing Address: | 686 Roosevelt Rd Glen Ellyn |
State: | IL US |
Postal Code: | 601375819 |
Phone Number: | 6305450350 |
Fax Number: | 6305450580 |
NPI Enumeration Date: | 07/23/2006 |
NPI Last Update Date: | 09/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |