Neuro Drive Pt, Pllc
Clinic/Center (Health Service)

Address: 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355
Phone: 7167135133

Neuro Drive Pt, Pllc (NPI# 1841899788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1841899788
Entity Type Organization
Organization Name NEURO DRIVE PT, PLLC
Practice Address 2300 W Wabansia Ave Apt 107
IL 60647-5355
Practice Telephone 7167135133
Mailing Address 2300 W Wabansia Ave Apt 107
IL 60647-5355
Mailing Telephone 7167135133
Authorized Official Name Dr. Jessica Wright (OWNER/PHYSICAL THERAPIST)
Authorized Official Telephone 7167135133
Authorized Official Credential DPT
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-21
Last Update Date 2020-10-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QH0100X Clinic/Center · Health Service Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Office Location

Street Address 2300 W WABANSIA AVE APT 107
State IL
Zip Code 60647-5355

Providers in the same zip code

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1023537693 Erin Frommeyer Physician Assistant 2228 W Dickens Avenue, Chicago, IL 60647 2017-09-15
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Zip Code 60647

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.