Amanda Arevalo is a Pediatrics in Berwyn, Illinois. Amanda Arevalo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Amanda Arevalo is 1518018399. The last update date is 2007-07-08.
Amanda Arevalo's current location address is 6915 30th Pl, Berwyn, Illinois. You can contact this provider via phone number 7086021581 and fax number 7084848841. The mailing address for Amanda Arevalo is 6915 30th Pl, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Arevalo |
|---|---|
| Address | 6915 30th Pl, Berwyn, Illinois |
| Phone Number | 7086021581 |
| Fax Number | 7084848841 |
| Sole Proprietor | N |
| Credentials | PT, MS, PC |
NPI Number Detail
| NPI Number | 1518018399 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6915 30th Pl |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 604022957 |
| Phone Number | 7086021581 |
| Fax Number | 7084848841 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1634441 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Amanda Arevalo?
The Amanda Arevalo has been issued the NPI (National Provider Identifier) 1518018399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Amanda Arevalo's physical address?
The Amanda Arevalo is physically located at 6915 30Th Pl, in the city of Berwyn, IL, with the postal code 604022957.
What is Amanda Arevalo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amanda Arevalo is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
When was the Amanda Arevalo's 1518018399 issued?
The Amanda Arevalo's 1518018399 was issued on 2007-01-16.
As of what date were the details pertaining to Amanda Arevalo last refreshed?
The information related to the Amanda Arevalo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.