Provider Demographics
NPI:1740429059
Name:ADVANCED PEDIATRIC THERAPY, P.C.
Entity Type:Organization
Organization Name:ADVANCED PEDIATRIC THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:708-269-1567
Mailing Address - Street 1:16739 S BELL RD
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-7601
Mailing Address - Country:US
Mailing Address - Phone:708-269-1567
Mailing Address - Fax:708-645-0316
Practice Address - Street 1:16739 S BELL RD
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-7601
Practice Address - Country:US
Practice Address - Phone:708-269-1567
Practice Address - Fax:708-645-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy