Wellformed AI

NPI 1568627552 · live from the CMS NPI Registry

Antares Institute Of Integrative Health LLC

Physical Therapist in Willowbrook, IL. National Provider Identifier 1568627552, active.

NPI record

NPI1568627552 Type 2 · organization
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location545 Plainfield Rd, Suite E, Willowbrook, IL 60527
Practice phone630-321-2296
EnumeratedJuly 19, 2008
Last updatedJuly 19, 2008
Authorized officialElizabeth Henley, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X—
Registered Nurse, Lactation Consultant163WL0100X—
Acupuncturist171100000X—
Massage Therapist225700000X—
Physical Therapist primary225100000X070008189 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.