| Organization Name: | ENCORE PREAKNESS, INC. |
| NPI Number: | 1295860138 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUE E. OLSEN (VICE PRESIDENT) |
| Mailing Address: | 2255 Monarch Dr Naperville |
| State: | IL US |
| Postal Code: | 605634164 |
| Phone Number: | 6303001272 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |