Shane Malecha is a Geriatrics in Beecher, Illinois. Shane Malecha practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Shane Malecha is 1114049111. The last update date is 2020-08-06.
Shane Malecha's current location address is 1514 Somerset Dr, Beecher, Illinois. You can contact this provider via phone number 7797713322. The mailing address for Shane Malecha is 1514 Somerset Dr, Beecher, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Malecha |
|---|---|
| Address | 1514 Somerset Dr, Beecher, Illinois |
| Phone Number | 7797713322 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, DPT, M |
NPI Number Detail
| NPI Number | 1114049111 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2020-08-06 |
Provider Mailing Address Detail
| Address | 1514 Somerset Dr |
|---|---|
| City | Beecher |
| State | Illinois (IL) |
| Post Code | 604013436 |
| Phone Number | 7797713322 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | 70.015555 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70015555 | IL | PHYSICAL THERAPY LICENSE | |
| 7346 | MN | PHYSICAL THERAPY LICENSE |
Post Comment/ Review Below
What is the Shane Malecha's unique identification number?
The Shane Malecha has been assigned the NPI (National Provider Identifier) Number 1114049111 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Shane Malecha is physically located?
The Shane Malecha is physically situated at the following address: 1514 Somerset Dr, Beecher, IL, 604013436.
What is the Shane Malecha's area of specialization and corresponding taxonomy classification?
The Shane Malecha's specialty field is Geriatrics, and it falls under the taxonomy code 2251G0304X, which categorizes healthcare providers based on their specialties.
When did the Shane Malecha receive its 1114049111?
The Shane Malecha was issued its 1114049111 on 2007-04-03, which is the date when the organization was assigned this unique identifier.
When was the information related to Shane Malecha most recently updated or refreshed?
The details pertaining to the Shane Malecha, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-06.