| Doctor Name: | MR. SREETHAR VENKATESAN |
| NPI Number: | 1659509578 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MPT |
| License Number: | 019564 |
| Business Practice Address: | 3705 Deerfield Road Riverwoods, IL - 60015 |
| Business Phone Number: | 8479479000 |
| Business Fax Number: | 8479479004 |
| Mailing Address: | 604 Buckthorn Terrace, BUFFALO GROVE |
| State: | IL |
| Postal Code: | 600891832 |
| Phone Number: | 6308541593 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 05/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 019564 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| 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 |