Maria Tessarolo is a Pediatrics in Chicago, Illinois. Maria Tessarolo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Maria Tessarolo is 1952435117. The last update date is 2007-07-08.
Maria Tessarolo's current location address is 1620 N La Salle Dr, Chicago, Illinois. You can contact this provider via phone number 3129433600. The mailing address for Maria Tessarolo is 1620 N La Salle Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Maria Tessarolo |
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Address | 1620 N La Salle Dr, Chicago, Illinois |
Phone Number | 3129433600 |
Fax Number | |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1952435117 |
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Provider Enumeration Date | 2007-03-16 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1620 N La Salle Dr |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606146005 |
Phone Number | 3129433600 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | 70005852 |
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, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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103034 | IL | -- |
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What is the unique 10-digit identifier code issued to Maria Tessarolo by the Centers for Medicare & Medicaid Services?
The Maria Tessarolo has been assigned the NPI (National Provider Identifier) 1952435117 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Maria Tessarolo is physically located?
The Maria Tessarolo is physically situated at the following address: 1620 N La Salle Dr, Chicago, IL, 606146005.
What is Maria Tessarolo'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 Maria Tessarolo is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2251P0200X.
When was the Maria Tessarolo's 1952435117 issued?
The Maria Tessarolo's 1952435117 was issued on 2007-03-16.
As of what date were the Maria Tessarolo's details last updated?
The information pertaining to the Maria Tessarolo, including its address, specialty, and other details, was most recently updated on 2007-07-08.