Provider Demographics
NPI:1598337644
Name:CITY NORTH PHYSICAL THERAPY LTD
Entity Type:Organization
Organization Name:CITY NORTH PHYSICAL THERAPY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:STRONGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-451-4913
Mailing Address - Street 1:710 N DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-5900
Mailing Address - Country:US
Mailing Address - Phone:312-819-2849
Mailing Address - Fax:312-786-4669
Practice Address - Street 1:6232 N PULASKI RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5132
Practice Address - Country:US
Practice Address - Phone:312-437-1129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy