Provider Demographics
NPI:1497191092
Name:CORE PHYSICAL THERAPY CLINICS, LLC
Entity Type:Organization
Organization Name:CORE PHYSICAL THERAPY CLINICS, LLC
Other - Org Name:CORE PHYSICAL THERAPY CLINICS #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KART
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:224-534-9710
Mailing Address - Street 1:79 W MONROE ST STE 919
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-4908
Mailing Address - Country:US
Mailing Address - Phone:773-999-9825
Mailing Address - Fax:224-441-7701
Practice Address - Street 1:79 W MONROE ST STE 919
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-4908
Practice Address - Country:US
Practice Address - Phone:773-999-9825
Practice Address - Fax:224-441-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070016436261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy