OrganizationActive
Doc'S PT LLC
NPI 1972850949 · Point of Service · Wilmette, IL
Provider details
- NPI number
- 1972850949
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Richard Colosi, President(847) 542-4868
- License
- 070014101 (IL)
Specialties & taxonomies
Managed Care Organizations
Practice location
1211 Washington Ave
Wilmette, IL 60091-2520
Phone: (847) 542-4868
Approximate (ZIP-level) locationGet directions
Mailing address
1898 Mcrae Ln
Mundelein, IL 60060-1468
Registry dates
- Enumerated
- 2012-08-09
- Last updated
- 2012-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.