PREMIUM PHYSICAL THERAPY (NPI# 1497809818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497809818 |
| Entity Type | Organization |
| Organization Name | PREMIUM PHYSICAL THERAPY |
| Practice Address |
17901 Governors Hwy Suite 204 Homewood IL 60430-1144 |
| Mailing Address |
17065 Dixie Hwy Suite 24 Hazel Crest IL 60429-1376 |
| Practice Telephone | 7089573300 |
| Practice Fax Number | 7089573385 |
| Mailing Telephone | 7089573300 |
| Mailing Fax Number | 7089573385 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EYAEMA EKENG AANAMNDU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7089573300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
17901 GOVERNORS HWY SUITE 204 |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280114 | Biren P Shah | Obstetrics & Gynecology | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2005-07-28 |
| 1477095321 | Krystal Poindexter | Nurse Practitioner | 17901 Governors Hwy, Suite 201, Homewood, IL 60430-1144 | 2016-11-09 |
| 1043683394 | Kurani Med Inc | Family Medicine | 17901 Governors Hwy, Suite 207a, Homewood, IL 60430-1144 | 2015-11-09 |
| 1720454713 | Hilda A Salgado | Physician Assistant | 17901 Governors Hwy, Suite 202, Homewood, IL 60430-1144 | 2015-08-13 |
| 1609259126 | Rao Uppuuluri, M.d.s.c. | Physician Assistant | 17901 Governors Hwy, Suite 202, Homewood, IL 60430-1144 | 2015-07-01 |
| 1497176622 | Elizabeth Kurnat | Nurse Practitioner | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2013-12-13 |
| 1467883306 | Indrajit J Patel Md | Internal Medicine | 17901 Governors Hwy, Homewood, IL 60430-1144 | 2013-12-03 |
| 1609204726 | Edward M. Ruiz Dds PC | Dentist | 17901 Governors Hwy, Suite 201a, Homewood, IL 60430-1144 | 2013-10-29 |
| 1255671194 | Drugstore Max | Pharmacy | 17901 Governors Hwy, 100, Homewood, IL 60430-1144 | 2013-02-28 |
| 1790928893 | Alpha Med Physicians Group, LLC | Internal Medicine | 17901 Governors Hwy, Suite 106, Homewood, IL 60430-1144 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093129942 | Agilitas Usa Inc | Clinic/Center | 1831 28th Ave S Ste 155n, Homewood, AL 35209-2607 | 2014-06-19 |
| 1982725750 | Conroy Orthopaedic & Sports Physical Therapy Ltd | Clinic/Center | 2920 W. 183rd St, Homewood, IL 60430-2868 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
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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.