Provider Demographics
NPI:1346530334
Name:COMPLETE THERAPY CARE INC
Entity Type:Organization
Organization Name:COMPLETE THERAPY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:VERMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATELONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-329-7530
Mailing Address - Street 1:5301 TOUHY AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3247
Mailing Address - Country:US
Mailing Address - Phone:847-329-7530
Mailing Address - Fax:
Practice Address - Street 1:5301 TOUHY AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3247
Practice Address - Country:US
Practice Address - Phone:847-329-7530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman FactorsGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty