Provider Demographics
NPI:1114499928
Name:NEXT STEP PHYSIOTHERAPY LLC
Entity Type:Organization
Organization Name:NEXT STEP PHYSIOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAKOB
Authorized Official - Middle Name:
Authorized Official - Last Name:AWENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:630-366-9951
Mailing Address - Street 1:1 PARKVIEW PLAZA
Mailing Address - Street 2:MAILBOX #6
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181
Mailing Address - Country:US
Mailing Address - Phone:630-366-9951
Mailing Address - Fax:
Practice Address - Street 1:1 PARKVIEW PLAZA
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181
Practice Address - Country:US
Practice Address - Phone:630-366-9951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy