Shannon J Yundt in Joliet - Physical Therapist

Shannon J Yundt - NPI 1194845511

Shannon J Yundt is a Physical Therapist in Joliet, Illinois. Shannon J Yundt practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shannon J Yundt is 1194845511. The last update date is 2015-09-30.

Shannon J Yundt's current location address is 3082 Caton Farm Rd, Joliet, Illinois. You can contact this provider via phone number 8155779936 and fax number 8155779938. The mailing address for Shannon J Yundt is 3082 Caton Farm Rd, Joliet, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon J Yundt
Address 3082 Caton Farm Rd, Joliet, Illinois
Phone Number 8155779936
Fax Number 8155779938
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1194845511
Provider Enumeration Date 2007-03-30
Last Updated Date 2015-09-30

Provider Mailing Address Detail

Address 3082 Caton Farm Rd
City Joliet
State Illinois (IL)
Post Code 604351455
Phone Number 8155779936
Fax Number 8155779938

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 70015633
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00931597 IL MEDICARE RAILROAD

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FAQs about Shannon J Yundt

What is the Shannon J Yundt's unique identification number?

The Shannon J Yundt has been assigned the NPI (National Provider Identifier) Number 1194845511 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Shannon J Yundt?

The Shannon J Yundt is situated at 3082 Caton Farm Rd, in the city of Joliet, state of IL, with the zip code 604351455.

What is Shannon J Yundt'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 Shannon J Yundt is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194845511 to Shannon J Yundt?

The Centers for Medicare & Medicaid Services assigned the 1194845511 to Shannon J Yundt on 2007-03-30.

As of what date was the information regarding Shannon J Yundt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shannon J Yundt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-09-30.

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