Organization Name: | ALLIED THERAPY NETWORK, INC. |
NPI Number: | 1508194952 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE MASICLAT (PRESIDENT) |
Mailing Address: | 1155 N Main St Suite E Glendale Heights |
State: | IL US |
Postal Code: | 601393508 |
Phone Number: | 6308589000 |
Fax Number: | 6308582421 |
NPI Enumeration Date: | 11/23/2009 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |