ILLINOIS THERAPEUTIC AND NURSING SERVICES, LLC (NPI# 1104335462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104335462 |
| Entity Type | Organization |
| Organization Name | ILLINOIS THERAPEUTIC AND NURSING SERVICES, LLC |
| Practice Address |
6055 N Lincoln Ave Ste 102b Chicago IL 60659-2435 |
| Practice Telephone | 7733388930 |
| Mailing Telephone | 7733377830 |
| Mailing Fax Number | 7733388932 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | JOSEPH CAJES ALZONA (CEO) |
| Authorized Official Telephone | 7733388930 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
070012538 | IL | Ambulatory Health Care Facilities |
| Street Address |
6055 N LINCOLN AVE STE 102B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005930 | Illinois Therapeutic Services, LLC | Physical Therapist | 6055 N Lincoln Ave Ste 102b, Chicago, IL 60659-2435 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| 1275152746 | Freeform Physical Therapy LLC | Clinic/Center | 2906 W Fullerton Ave, Chicago, IL 60647-2921 | 2020-04-14 |
| 1730736158 | Achieve Performance Lab LLC | Clinic/Center | 1940 W Lawrence Ave Apt 3w, Chicago, IL 60640-4012 | 2019-08-20 |
| 1255997862 | Urban Physical Therapy LLC | Clinic/Center | 345 E Ohio St Apt 2807, Chicago, IL 60611-4065 | 2019-05-20 |
| 1760047179 | Remedy Physical Therapy and Wellness | Clinic/Center | 4636 N Kenmore Ave # 2, Chicago, IL 60640-5039 | 2019-05-01 |
| 1780248864 | Customfit Concierge Medicine, Health and Fitness LLC | Clinic/Center | 1413 W Fillmore St Apt 2, Chicago, IL 60607-4716 | 2019-04-24 |
| 1801356175 | Kinetic Care Physical Therapy LLC | Clinic/Center | 3245 N Ashland Ave Apt 2a, Chicago, IL 60657-4087 | 2019-03-22 |
| 1760952626 | Prep Performance Center, LLC | Clinic/Center | 4022 N Rockwell Street, Chicago, IL 60618 | 2018-12-04 |
| 1699272864 | Athletico, Ltd. | Clinic/Center | 2520 N Elston Ave, Chicago, IL 60647-2004 | 2018-04-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.