Mary K Formea is a Physical Therapist in Aurora, Illinois. Mary K Formea practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mary K Formea is 1558467613. The last update date is 2021-11-22.
Mary K Formea's current location address is 1221 N Highland Ave, Aurora, Illinois. You can contact this provider via phone number 6308598700. The mailing address for Mary K Formea is 1221 N Highland Ave, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary K Formea |
|---|---|
| Address | 1221 N Highland Ave, Aurora, Illinois |
| Phone Number | 6308598700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1558467613 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2021-11-22 |
Provider Mailing Address Detail
| Address | 1221 N Highland Ave |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605061404 |
| Phone Number | 6308598700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 070-015175 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 451514334 | IL | BCBS PROVIDER ID# |
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What is the unique identifier code issued to Mary K Formea by the Centers for Medicare & Medicaid Services?
The Mary K Formea has been assigned the NPI (National Provider Identifier) 1558467613. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary K Formea's physical address?
The Mary K Formea is physically located at 1221 N Highland Ave, in the city of Aurora, IL, with the postal code 605061404.
What is Mary K Formea's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary K Formea is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558467613 to Mary K Formea?
The Centers for Medicare & Medicaid Services assigned the 1558467613 to Mary K Formea on 2006-09-16.
When was the Mary K Formea's information last updated?
The Mary K Formea's information was last updated on 2021-11-22.