Eryn Kubinski is a Sports in Joliet, Illinois. Eryn Kubinski practices all healthcare services and medical treatments related to Sports. The NPI Number for Eryn Kubinski is 1386868701. The last update date is 2019-04-08.
Eryn Kubinski's current location address is 115 Republic Ave, Joliet, Illinois. You can contact this provider via phone number 8152077463. The mailing address for Eryn Kubinski is 115 Republic Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eryn Kubinski |
|---|---|
| Address | 115 Republic Ave, Joliet, Illinois |
| Phone Number | 8152077463 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1386868701 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2019-04-08 |
Provider Mailing Address Detail
| Address | 115 Republic Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604356570 |
| Phone Number | 8152077463 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 70.018912 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70.018912 | IL | PT LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eryn Kubinski?
The Eryn Kubinski has been issued the NPI (National Provider Identifier) 1386868701 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Eryn Kubinski?
The Eryn Kubinski is physically situated at 115 Republic Ave, in the city of Joliet, state of IL, with the postal code 604356570.
What is Eryn Kubinski'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 Eryn Kubinski is Sports, and the taxonomy classification code that categorizes this area of expertise is 2251S0007X.
On what date did the Eryn Kubinski receive its 1386868701 assignment from the Centers for Medicare & Medicaid Services?
The Eryn Kubinski was assigned its 1386868701 by the Centers for Medicare & Medicaid Services on 2007-04-13.
When was the Eryn Kubinski's information last updated?
The Eryn Kubinski's information was last updated on 2019-04-08.