NPI 1154651149 · live from the CMS NPI Registry
360 Physical Therapy, LLC
Physical Therapist in Chicago, IL. National Provider Identifier 1154651149, active.
NPI record
| NPI | 1154651149 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 564 W Jackson Blvd, Chicago, IL 60661 |
| Practice phone | 312-614-1349 |
| Enumerated | January 13, 2010 |
| Last updated | November 13, 2013 |
| Authorized official | Adam Wolf, Owner / Physical Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 070015710 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.