Organization Name: | ILLINOIS SPINAL & SPORTS REHABILITATION SC |
NPI Number: | 1275651242 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC J LUKOSUS (BUSINESS OWNER) |
Mailing Address: | 4015 Plainfield Naperville Rd Suite 105 Naperville |
State: | IL US |
Postal Code: | 605644136 |
Phone Number: | 6309049700 |
Fax Number: | 6309049713 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 70015459 |
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 |