Organization Name: | WOMENS HEALTH REHABILITATION CENTERS PC |
NPI Number: | 1104886373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOYCE EILEEN YOUNGBRANDT (PRESIDENT) |
Mailing Address: | 18425 West Creek Dr Tinley Park |
State: | IL US |
Postal Code: | 604776768 |
Phone Number: | 7085573828 |
Fax Number: | 8773226752 |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 070005818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |