Provider Demographics
NPI:1811918063
Name:AIM THERAPY PC
Entity type:Organization
Organization Name:AIM THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WZOREK
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:618-401-4201
Mailing Address - Street 1:4956 ROCKY BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:BETHALTO
Mailing Address - State:IL
Mailing Address - Zip Code:62010-2540
Mailing Address - Country:US
Mailing Address - Phone:618-401-4201
Mailing Address - Fax:618-377-7011
Practice Address - Street 1:4956 ROCKY BRANCH RD
Practice Address - Street 2:
Practice Address - City:BETHALTO
Practice Address - State:IL
Practice Address - Zip Code:62010-2540
Practice Address - Country:US
Practice Address - Phone:618-401-4201
Practice Address - Fax:618-377-7011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty