Provider Demographics
NPI:1174795637
Name:CURING PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:CURING PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HALA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMAA
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:630-801-0100
Mailing Address - Street 1:4647 W 103RD ST
Mailing Address - Street 2:STE. #2E
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-4779
Mailing Address - Country:US
Mailing Address - Phone:708-425-3466
Mailing Address - Fax:708-425-3422
Practice Address - Street 1:417 S LINCOLNWAY STE B
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-5110
Practice Address - Country:US
Practice Address - Phone:630-801-0100
Practice Address - Fax:630-801-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635414OtherBCBS OF IL
ILDC4322Medicare PIN
IL01635414OtherBCBS OF IL