Provider Demographics
NPI:1508061391
Name:ARC-HEALTH, PAIN MANAGEMENT AND PHYSICAL THERAPY CENTER
Entity Type:Organization
Organization Name:ARC-HEALTH, PAIN MANAGEMENT AND PHYSICAL THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NEELESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-932-1079
Mailing Address - Street 1:977 LAKEVIEW PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1444
Mailing Address - Country:US
Mailing Address - Phone:847-932-1079
Mailing Address - Fax:847-932-1082
Practice Address - Street 1:977 LAKEVIEW PKWY STE 103
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1444
Practice Address - Country:US
Practice Address - Phone:847-932-1079
Practice Address - Fax:847-932-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty