Provider Demographics
NPI:1326589102
Name:TEAM SAPIENS PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:TEAM SAPIENS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SLAVKO
Authorized Official - Middle Name:
Authorized Official - Last Name:MILICEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:630-447-9746
Mailing Address - Street 1:1942 RAYMOND DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-6715
Mailing Address - Country:US
Mailing Address - Phone:630-447-9746
Mailing Address - Fax:630-385-0124
Practice Address - Street 1:1942 RAYMOND DR
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-6715
Practice Address - Country:US
Practice Address - Phone:630-447-9746
Practice Address - Fax:630-385-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty