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

Brian So

Individual provider Physical Therapist · NPI 1588086805

Brian So is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2013, 13 years ago. Practices with Athletic and Therapeutic Institute of Naperville, LLC, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

4620 N Clark St
Chicago, IL 60640-4620
Phone: (773) 728-2690
Fax: (773) 728-2692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 909 Davis St, Evanston, IL 60201-3683 — (847) 733-7906

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-020486 (IL)

Record details

NPI number1588086805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 7, 2014
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Athletic And Therapeutic Institute Of Naperville, Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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