Provider Demographics
NPI:1952547739
Name:FIRST THERAPY SERVICES PC
Entity Type:Organization
Organization Name:FIRST THERAPY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWLIK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:708-457-8634
Mailing Address - Street 1:5112 N OZARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-3341
Mailing Address - Country:US
Mailing Address - Phone:708-457-8634
Mailing Address - Fax:708-575-0241
Practice Address - Street 1:5112 N OZARK AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-3341
Practice Address - Country:US
Practice Address - Phone:708-457-8634
Practice Address - Fax:708-575-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-27
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060010008261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy