| Organization Name: | CENTERIMT CHICAGO IL PC |
| NPI Number: | 1184676835 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MEEJUNG JANE PARK (PRACTICE MANAGER) |
| Mailing Address: | 180 W. Park Ave. Ste. 250 Elmhurst |
| State: | IL US |
| Postal Code: | 601263357 |
| Phone Number: | 6302790032 |
| Fax Number: | 6302791833 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |