Whalio Doctors

NPI 1023064144

Eastern Iowa Therapeutics PC

Organisation Physical Therapist Chicago, IL

Practice location

Address
2406 Momentum Pl, Chicago, IL 60689-0001
Phone
(815) 577-2480
Fax
(815) 577-7535
Mailing address
205 W Wacker Dr Suite 1020, Chicago, IL 60606-1216

Authorised official

Name
Randolph P Frieser
Title
President Secretary
Phone
(312) 640-0329

Registered specialties (4)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 02757 (IA)
Orthopedic Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Registry record

NPI
1023064144
Entity type
Organization
NPI issued
26 May 2006
Record last updated
16 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.