Provider Demographics
NPI:1013229319
Name:AMERICAN THERAPY PROFESSIONALS LLC
Entity Type:Organization
Organization Name:AMERICAN THERAPY PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GILLILAND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:630-334-2686
Mailing Address - Street 1:3206 WILD MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5159
Mailing Address - Country:US
Mailing Address - Phone:630-334-2686
Mailing Address - Fax:630-898-2687
Practice Address - Street 1:3206 WILD MEADOW LN
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5159
Practice Address - Country:US
Practice Address - Phone:630-334-2686
Practice Address - Fax:630-898-2687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070010917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty