Provider Demographics
NPI:1194365890
Name:TRYBA PHYSICAL THERAPY GROUP, LLC
Entity Type:Organization
Organization Name:TRYBA PHYSICAL THERAPY GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AGNIESZKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRYBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-673-3366
Mailing Address - Street 1:105 N HUBBARD ST
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-2459
Mailing Address - Country:US
Mailing Address - Phone:630-673-3366
Mailing Address - Fax:
Practice Address - Street 1:600 INDUSTRIAL DR STE D
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-1952
Practice Address - Country:US
Practice Address - Phone:847-409-7766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty