| Elevate Health And Performance Llc | |
|
640 N Willow Rd, Elmhurst, IL 60126-1968 | |
| (773) 716-9596 | |
| Not Available |
| Full Name | Elevate Health And Performance Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 640 N Willow Rd, Elmhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598624355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| Provider Name | Stanley Shaji Kurian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417672981 PECOS PAC ID: 1153797709 Enrollment ID: I20221021002318 |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Health And Performance Llc 643 N York St Unit 2013, Elmhurst, IL 60126-1604 Ph: (773) 716-9596 | Elevate Health And Performance Llc 640 N Willow Rd, Elmhurst, IL 60126-1968 Ph: (773) 716-9596 |
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