Basic Information
| Provider Information | |||||||||
| NPI: | 1093971970 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THERASYS CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5005 NEWPORT DR | ||||||||
| Address2: | SUITE 401 | ||||||||
| City: | ROLLING MEADOWS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600083832 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8477971050 | ||||||||
| FaxNumber: | 8477971337 | ||||||||
| Practice Location | |||||||||
| Address1: | 183 N ADDISON AVE | ||||||||
| Address2: | |||||||||
| City: | ELMHURST | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601262748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6302790404 | ||||||||
| FaxNumber: | 6302794690 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2008 | ||||||||
| LastUpdateDate: | 07/31/2008 | ||||||||
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| AuthorizedOfficialLastName: | BAUGH | ||||||||
| AuthorizedOfficialFirstName: | KIMBERLY | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF FINANCIAL OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 8476316227 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | IL | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.