Joseph Donayre Fadullon in Bolingbrook - Geriatrics
Joseph Donayre Fadullon - NPI 1386786432
Joseph Donayre Fadullon is a Geriatrics in Bolingbrook, Illinois. Joseph Donayre Fadullon practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Joseph Donayre Fadullon is 1386786432. The last update date is 2007-08-20.
Joseph Donayre Fadullon's current location address is 386 Clubhouse St, Bolingbrook, Illinois. You can contact this provider via phone number 9067480183 and fax number 6307596873. The mailing address for Joseph Donayre Fadullon is 386 Clubhouse St, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Donayre Fadullon |
|---|---|
| Address | 386 Clubhouse St, Bolingbrook, Illinois |
| Phone Number | 9067480183 |
| Fax Number | 6307596873 |
| Sole Proprietor | Y |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1386786432 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 386 Clubhouse St |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604902119 |
| Phone Number | 9067480183 |
| Fax Number | 6307596873 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | 5501007885 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Joseph Donayre Fadullon by the Centers for Medicare & Medicaid Services?
The Joseph Donayre Fadullon has been assigned the NPI (National Provider Identifier) 1386786432. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Joseph Donayre Fadullon?
The Joseph Donayre Fadullon is physically situated at 386 Clubhouse St, in the city of Bolingbrook, state of IL, with the postal code 604902119.
What is Joseph Donayre Fadullon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joseph Donayre Fadullon's area of specialization is Geriatrics, and the corresponding taxonomy code that categorizes this field of practice is 2251G0304X.
On what date did Joseph Donayre Fadullon receive its 1386786432 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Donayre Fadullon was assigned its 1386786432 on 2007-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Joseph Donayre Fadullon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Joseph Donayre Fadullon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-20.
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