Provider Demographics
NPI:1851062921
Name:THERAPYCAREONGO LLC
Entity Type:Organization
Organization Name:THERAPYCAREONGO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:CONSOLACION-CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:630-965-6536
Mailing Address - Street 1:1761 E 106TH AVE
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7083
Mailing Address - Country:US
Mailing Address - Phone:630-965-6536
Mailing Address - Fax:
Practice Address - Street 1:1761 E 106TH AVE
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-7083
Practice Address - Country:US
Practice Address - Phone:630-965-6536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty