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Martin Pediatric Physical Therapy, Inc.
Home Health Agency in Lake Villa, Illinois
NPI 1952597098

Martin Pediatric Physical Therapy, Inc. is a Home Health Agency based in Lake Villa, IL. Martin Pediatric Physical Therapy, Inc. practices in Lake Villa, IL. The NPI Number for Martin Pediatric Physical Therapy, Inc. is 1952597098 and holds a License No. 070.013168 (Illinois).

The current practice location address for Martin Pediatric Physical Therapy, Inc. is 656 Blazing Star Dr, Lake Villa, IL and can be reached out via phone at 847-863-3901 and via fax at 847-245-1476.

Location: 656 Blazing Star Dr, Lake Villa, IL, 60046-9012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952597098
Provider Name
Martin Pediatric Physical Therapy, Inc.
Credential
Provider Entity Type
Organization
Address
656 Blazing Star Dr, Lake Villa, IL, 60046-9012
Phone Number
847-863-3901
Fax Number
847-245-1476
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
656 Blazing Star Dr
City
Lake Villa
State
Illinois
Zip
60046-9012
Phone Number
847-863-3901
Fax Number
847-245-1476
person
Provider Business Mailing Address Details
Address
656 Blazing Star Dr
City
Lake Villa
State
Illinois
Zip
60046-9012
Phone Number
847-863-3901
Fax Number
847-245-1476
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
070.013168 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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