Organization Name: | CONCORD NATURAL & NUTRITIONAL HEALTHCARE, PC |
NPI Number: | 1104148733 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE M. HUSSONG (OWNER/CEO) |
Mailing Address: | 800 Roosevelt Rd B-418 Glen Ellyn |
State: | IL US |
Postal Code: | 601375839 |
Phone Number: | 6304749346 |
Fax Number: | 6304749357 |
NPI Enumeration Date: | 02/24/2010 |
NPI Last Update Date: | 03/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.003626 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |