Basic Information
| Provider Information | |||||||||
| NPI: | 1356602197 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACCESS PHYSICAL THERAPY III INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2600 S. MICHIGAN AVE. | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3123267492 | ||||||||
| FaxNumber: | 3123267490 | ||||||||
| Practice Location | |||||||||
| Address1: | 2600 S. MICHIGAN AVE. | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3123267492 | ||||||||
| FaxNumber: | 3123267490 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2012 | ||||||||
| LastUpdateDate: | 04/02/2015 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | VELMA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7086812991 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | N | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | 261QP2000X | IL | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.