Provider Demographics
NPI:1952666828
Name:HEALING REHAB PHYSICAL THERAPY SC
Entity Type:Organization
Organization Name:HEALING REHAB PHYSICAL THERAPY SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMJAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:BHATTI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:847-466-5420
Mailing Address - Street 1:125 S BLOOMINGDALE RD STE 11
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1216
Mailing Address - Country:US
Mailing Address - Phone:847-466-5420
Mailing Address - Fax:847-466-5856
Practice Address - Street 1:125 S BLOOMINGDALE RD STE 11
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1216
Practice Address - Country:US
Practice Address - Phone:847-466-5420
Practice Address - Fax:847-466-5856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty