Provider Demographics
NPI:1881708592
Name:EUROPEAN HEALING CENTER, INC
Entity type:Organization
Organization Name:EUROPEAN HEALING CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:VISOTSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-673-7400
Mailing Address - Street 1:8707 SKOKIE BLVD
Mailing Address - Street 2:308
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077
Mailing Address - Country:US
Mailing Address - Phone:847-673-7400
Mailing Address - Fax:847-673-7635
Practice Address - Street 1:8707 SKOKIE BLVD
Practice Address - Street 2:308
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-673-7400
Practice Address - Fax:847-673-7635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
06201621694OtherBCBS
481820Medicare ID - Type Unspecified