Provider Demographics
NPI:1770009078
Name:ADVANCED PHYSICAL THERAPY AND PAIN SOLUTIONS LLC
Entity Type:Organization
Organization Name:ADVANCED PHYSICAL THERAPY AND PAIN SOLUTIONS LLC
Other - Org Name:HANDS ON PHYSIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMBIAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:630-487-1078
Mailing Address - Street 1:323 REGAL CT
Mailing Address - Street 2:
Mailing Address - City:CLARENDON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60514-1569
Mailing Address - Country:US
Mailing Address - Phone:773-683-2353
Mailing Address - Fax:773-442-0046
Practice Address - Street 1:15 SPINNING WHEEL RD STE 232
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-7654
Practice Address - Country:US
Practice Address - Phone:630-487-1078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy