Excellcare Physical Therapy & Rehabilitation Network 2 Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EXCELLCARE PHYSICAL THERAPY & REHABILITATION NETWORK 2 INC

Practice address

6508 W Archer Ave
Suite 4
Chicago, IL 60638-2423

Phone

(773) 313-3711

Fax

(773) 313-3714

NPI assigned

Dec 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michal Baradziej, LPT

Title

President

Phone

(773) 313-3711

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1033448360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 W ARCHER AVE",
            "address_2": "SUITE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382423",
            "telephone_number": "773-313-3711",
            "fax_number": "773-313-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 W ARCHER AVE",
            "address_2": "SUITE 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382423",
            "telephone_number": "773-313-3711",
            "fax_number": "773-313-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLCARE PHYSICAL THERAPY & REHABILITATION NETWORK 2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "BARADZIEJ",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-313-3711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.