OrganizationActive
Achieve Orthopedic Manual Therapy Park Ridge, PLLC
NPI 1417680810 · Physical Therapy Clinic/Center · Park Ridge, IL
Provider details
- NPI number
- 1417680810
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- January Lewis Tucker, Billing Director/Cred Rep(630) 300-3770
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
422 N Northwest Hwy Ste 200
Park Ridge, IL 60068-3273
Phone: (847) 384-8511
Fax: (847) 384-8513
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 228
Willow Springs, IL 60480-0228
Registry dates
- Enumerated
- 2022-07-05
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.