Provider Demographics
NPI:1043800873
Name:MARGOT MCCLOY PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:MARGOT MCCLOY PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGOT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-929-5606
Mailing Address - Street 1:8086 GARFIELD AVE APT 7-2
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7912
Mailing Address - Country:US
Mailing Address - Phone:312-929-5606
Mailing Address - Fax:
Practice Address - Street 1:8086 GARFIELD AVE APT 7-2
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-7912
Practice Address - Country:US
Practice Address - Phone:312-929-5606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy