Organization Active NPI

Opal Therapy Services LLC.

  • Physical Therapy Clinic/Center
  • Lincolnwood, IL
National Provider Identifier
1851682363
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070.007617 Issued in IL
Legal business name
OPAL THERAPY SERVICES LLC.
Practice address
7177 N Lincoln Ave
Lincolnwood, IL 60712-2210
Phone
(773) 517-6489
Fax
(847) 674-9888
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Ms. Elizabeth Tonido, P.T.
Title
Program Manager
Phone
(773) 517-6489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070.007617 IL Primary

Addresses

Primary practice location

7177 N Lincoln Ave
Lincolnwood, IL 60712-2210

Mailing address

7177 N Lincoln Ave
Lincolnwood, IL 60712-2210
Phone (773) 517-6489

National Provider Directory

National Provider Directory

Locations

7177 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 517-6489

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1851682363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122210",
            "telephone_number": "773-517-6489",
            "fax_number": "847-674-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122210",
            "telephone_number": "773-517-6489",
            "fax_number": "847-674-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL THERAPY SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "TONIDO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "773-517-6489",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.007617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.