Illinois Therapeutic and Nursing Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070012538 Issued in IL

Legal business name

ILLINOIS THERAPEUTIC AND NURSING SERVICES, LLC

Practice address

6055 N Lincoln Ave Ste 102B
Chicago, IL 60659-2435

Phone

(773) 338-8930

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Joseph Cajes Alzona, PHYSICAL THERAPIST

Title

Ceo

Phone

(773) 338-8930

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1104335462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 N LINCOLN AVE STE 102B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592435",
            "telephone_number": "773-337-7830",
            "fax_number": "773-338-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 N LINCOLN AVE STE 102B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592435",
            "telephone_number": "773-338-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS THERAPEUTIC AND NURSING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "ALZONA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CAJES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-338-8930",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070012538",
            "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 Sep 29, 2017; 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.