Provider Demographics
NPI:1487026803
Name:RISE PHYSICAL THERAPY & WELLNESS, LLC
Entity type:Organization
Organization Name:RISE PHYSICAL THERAPY & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NAUKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-571-8000
Mailing Address - Street 1:2208 MIDWEST RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1277
Mailing Address - Country:US
Mailing Address - Phone:630-571-8000
Mailing Address - Fax:844-529-7727
Practice Address - Street 1:2208 MIDWEST RD
Practice Address - Street 2:SUITE 101
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1277
Practice Address - Country:US
Practice Address - Phone:630-571-8000
Practice Address - Fax:844-529-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-25
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.006205261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy