Provider Demographics
NPI:1538513171
Name:APRIL NEUKAM PHYSICAL THERAPY
Entity Type:Organization
Organization Name:APRIL NEUKAM PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUKAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, OCS
Authorized Official - Phone:812-639-1839
Mailing Address - Street 1:17W745 BUTTERFIELD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4277
Mailing Address - Country:US
Mailing Address - Phone:812-639-1839
Mailing Address - Fax:630-203-0962
Practice Address - Street 1:17W745 BUTTERFIELD RD
Practice Address - Street 2:SUITE A
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4277
Practice Address - Country:US
Practice Address - Phone:812-639-1839
Practice Address - Fax:630-203-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.017662261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy