Provider Demographics
NPI:1700683018
Name:STREAMLINE PHYSICAL THERAPY AND REHAB INC
Entity type:Organization
Organization Name:STREAMLINE PHYSICAL THERAPY AND REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:T
Authorized Official - Last Name:KANJOOKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:224-236-2847
Mailing Address - Street 1:1150 HILLGROVE AVE # 1429
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-1429
Mailing Address - Country:US
Mailing Address - Phone:224-236-2847
Mailing Address - Fax:
Practice Address - Street 1:1150 HILLGROVE AVE # 1429
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558-1429
Practice Address - Country:US
Practice Address - Phone:224-236-2847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty