Provider Demographics
NPI:1659839983
Name:PHYSICALS PLUS, INC
Entity type:Organization
Organization Name:PHYSICALS PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ODOM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:312-371-7489
Mailing Address - Street 1:19740 GOVERNORS HWY STE 116
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2085
Mailing Address - Country:US
Mailing Address - Phone:708-607-2503
Mailing Address - Fax:778-200-3824
Practice Address - Street 1:19740 GOVERNORS HWY STE 116
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2085
Practice Address - Country:US
Practice Address - Phone:708-607-2503
Practice Address - Fax:778-200-3824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty