Prep Performance Center, LLC
Clinic/Center (Physical Therapy)

Address: 4022 N Rockwell Street, Chicago, IL 60618
Phone: 7738440240

Prep Performance Center, LLC (NPI# 1760952626) 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) 1760952626
Entity Type Organization
Practice Address 4022 N Rockwell Street
IL 60618
Practice Telephone 7738440240
Mailing Address 4022 N Rockwell Street
IL 60618
Mailing Telephone 7738440240
Authorized Official Name Mary Catherine Casey (FOUNDER)
Authorized Official Telephone 7738440240
Authorized Official Credential DPT
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-12-04
Last Update Date 2019-09-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2000X Clinic/Center · Physical Therapy Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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Office Location

Street Address 4022 N ROCKWELL STREET
State IL
Zip Code 60618

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134741622 Cvs Aoc Services, L.l.c. Optometrist 4051 North Lincoln, Store 8751, Chicago, IL 60618 2020-05-07
1699317404 Joseph Thank Harmon Registered Nurse 5645 W Addison, Chicago, IL 60618 2019-10-14
1528540986 Ruby Erdmann Dietitian, Registered 3126 N Kimball Ave. #3w, Chicago, IL 60618 2018-09-02
1962997064 Living Roots Psychotherapy, LLC Clinic/Center 4310 N Spaulding Ave, Chicago, IL 60618 2018-06-30
1962920116 Alif Muhammad Counselor 3819 W Cornelia Ave #2, Chicago, IL 60618 2017-09-07
1417471178 Daniel Lee Mcmillan Counselor 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 2017-08-03
1508380486 Callie Weinberg Social Worker 2945 N Damen Ave, 1s, Chicago, IL 60618 2017-08-01
1275062697 Melissa Ann Prest Dietitian, Registered 3258 W Warner Ave, Apt 2, Chicago, IL 60618 2017-06-08
1871951038 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 4315 N. Lincoln Avenue, Chicago, IL 60618 2016-02-03
1285021428 Midamerica Home Physicians, Inc. Health Maintenance Organization 2244 W. Fullerton Ave., Chicago, IL 60618 2015-04-24
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Zip Code 60618

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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.