Susan Gwillim in Peoria - Physical Therapist

Susan Gwillim - NPI 1053410159

Susan Gwillim is a Physical Therapist in Peoria, Illinois. Susan Gwillim practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Susan Gwillim is 1053410159. The last update date is 2020-09-22.

Susan Gwillim's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096932244 and fax number 3096937606. The mailing address for Susan Gwillim is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Gwillim
Address 5401 N Knoxville Ave, Peoria, Illinois
Phone Number 3096932244
Fax Number 3096937606
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1053410159
Provider Enumeration Date 2006-09-22
Last Updated Date 2020-09-22

Provider Mailing Address Detail

Address 5401 N Knoxville Ave
City Peoria
State Illinois (IL)
Post Code 616145098
Phone Number 3096932244
Fax Number 3096937606

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 70012872
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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FAQs about Susan Gwillim

What is the unique identification code assigned to Susan Gwillim by the Centers for Medicare & Medicaid Services?

The Susan Gwillim has been issued the NPI (National Provider Identifier) 1053410159. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Susan Gwillim is physically located?

The Susan Gwillim is situated at the following address: 5401 N Knoxville Ave, Peoria, IL 616145098.

What is Susan Gwillim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Susan Gwillim is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Susan Gwillim receive its 1053410159 assignment from the Centers for Medicare & Medicaid Services?

The Susan Gwillim was assigned its 1053410159 by the Centers for Medicare & Medicaid Services on 2006-09-22.

When was the information pertaining to Susan Gwillim most recently updated or revised?

The details related to Susan Gwillim, including its address, specialty, and other relevant information, were last updated or revised on 2020-09-22.

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