Wellformed AI

NPI 1679871453 · live from the CMS NPI Registry

Advanced Physical Therapy & Spinal Rehab, Corp.

Physical Therapist in Skokie, IL. National Provider Identifier 1679871453, active.

NPI record

NPI1679871453 Type 2 · organization
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location9849 Gross Point Rd, Skokie, IL 60076
Practice phone847-675-7025
EnumeratedMarch 3, 2011
Last updatedMarch 13, 2011
Authorized officialJin Lee, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor111N00000X038009729 (IL)
Physical Therapist primary225100000X070016580 (IL)

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