Illinois Therapeutic Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ILLINOIS THERAPEUTIC SERVICES, LLC

Practice address

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

Phone

(773) 338-8930

Fax

(773) 338-8932

NPI assigned

Feb 14, 2020

Organization subpart

No

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

Authorized official

Name

Rona Cajes Alzona

Title

President

Phone

(773) 338-8930

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1669005930",
    "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": "773-338-8930",
            "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",
            "fax_number": "773-338-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "ALZONA",
        "authorized_official_first_name": "RONA",
        "authorized_official_middle_name": "CAJES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-338-8930"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "itns@att.net",
            "affiliation": "N",
            "address_1": "6055 N Lincoln Ave Ste 102B",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606592435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.