Provider Demographics
NPI:1497181382
Name:E-ZTHERAPY,LLC
Entity Type:Organization
Organization Name:E-ZTHERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EZRA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:224-875-1012
Mailing Address - Street 1:1290 KINGSDALE RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1215
Mailing Address - Country:US
Mailing Address - Phone:224-875-1012
Mailing Address - Fax:847-781-5246
Practice Address - Street 1:1290 KINGSDALE RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1215
Practice Address - Country:US
Practice Address - Phone:224-875-1012
Practice Address - Fax:847-781-5246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.007385261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy