Provider Demographics
NPI:1093959652
Name:MIDWEST THERAPY NETWORK LLC
Entity Type:Organization
Organization Name:MIDWEST THERAPY NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-607-2038
Mailing Address - Street 1:855 E GOLF RD
Mailing Address - Street 2:STE. 2133
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5222
Mailing Address - Country:US
Mailing Address - Phone:630-607-2038
Mailing Address - Fax:847-290-9133
Practice Address - Street 1:855 E GOLF RD
Practice Address - Street 2:STE. 2133
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5222
Practice Address - Country:US
Practice Address - Phone:630-607-2038
Practice Address - Fax:847-290-9133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health