Elija Kamal Sansom in Bolingbrook - Physical Therapist
Elija Kamal Sansom - NPI 1073724720
Elija Kamal Sansom is a Physical Therapist in Bolingbrook, Illinois. Elija Kamal Sansom practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Elija Kamal Sansom is 1073724720. The last update date is 2023-07-11.
Elija Kamal Sansom's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 8663708206 and fax number 5174353670. The mailing address for Elija Kamal Sansom is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elija Kamal Sansom |
|---|---|
| Address | 790 Remington Blvd, Bolingbrook, Illinois |
| Phone Number | 8663708206 |
| Fax Number | 5174353670 |
| Sole Proprietor | N |
| Credentials | M.P.T. |
NPI Number Detail
| NPI Number | 1073724720 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2023-07-11 |
Provider Mailing Address Detail
| Address | 790 Remington Blvd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604404909 |
| Phone Number | 8663708206 |
| Fax Number | 5174353670 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501010471 |
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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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What is the unique 10-digit identifier code assigned to Elija Kamal Sansom by the Centers for Medicare & Medicaid Services?
The Elija Kamal Sansom has been issued the NPI (National Provider Identifier) 1073724720 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Elija Kamal Sansom is located?
The Elija Kamal Sansom is situated at the following address: 790 Remington Blvd, Bolingbrook, IL, 604404909.
What is Elija Kamal Sansom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elija Kamal Sansom is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date was the 1073724720 assigned to Elija Kamal Sansom?
The Elija Kamal Sansom was issued its 1073724720 on 2007-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Elija Kamal Sansom last refreshed?
The information related to the Elija Kamal Sansom, including its address, specialty, and other relevant details, was last updated on 2023-07-11.
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