Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andersonville Physical Therapy, SC

Organization Physical Therapist · NPI 1043368731

Andersonville Physical Therapy, SC is a Physical Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

5414 N Broadway St
Chicago, IL 60640-1704
Phone: (773) 907-3599
Fax: (773) 907-3510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070008600 (IL)

Record details

NPI number1043368731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Staszak — Manager · (773) 907-3599
NPI enumeratedJanuary 8, 2007
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address5414 N Broadway St, Chicago, IL 60640-1704

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