| Organization Name: | EMERY PHYSICAL THERAPY LLC |
| NPI Number: | 1154663813 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP OLASA (PHYSICAL THERAPIST) |
| Mailing Address: | 2380 S Elmhurst Rd Mount Prospect |
| State: | IL US |
| Postal Code: | 600565805 |
| Phone Number: | 6307285599 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2013 |
| NPI Last Update Date: | 10/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 070011911 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |