Provider Demographics
NPI:1477739365
Name:BARRINGTON REHABILITATION AND SPORTS PHYSICAL THERAPY, LTD.
Entity Type:Organization
Organization Name:BARRINGTON REHABILITATION AND SPORTS PHYSICAL THERAPY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:847-381-8812
Mailing Address - Street 1:27401 W IL ROUTE 22
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-5999
Mailing Address - Country:US
Mailing Address - Phone:847-381-8812
Mailing Address - Fax:847-381-6311
Practice Address - Street 1:27401 W IL ROUTE 22
Practice Address - Street 2:SUITE 107
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-5999
Practice Address - Country:US
Practice Address - Phone:847-381-8812
Practice Address - Fax:847-381-6311
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BARRINGTON REHABILITATION AND SPORTS PHYSICAL THERAPY, LTD.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-10
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4831690001Medicare NSC
IL210814Medicare PIN