Waukegan Medical And Rehabilitation in Waukegan - Physical Therapy Assistant
Waukegan Medical And Rehabilitation - NPI 1396892352
Waukegan Medical And Rehabilitation is a Physical Therapy Assistant in Waukegan, Illinois. Waukegan Medical And Rehabilitation practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Waukegan Medical And Rehabilitation is 1396892352. The last update date is 2016-01-19.
Waukegan Medical And Rehabilitation's current location address is 1720 Grand Ave, Waukegan, Illinois. You can contact this provider via phone number 8476250202 and fax number 8476250101. The mailing address for Waukegan Medical And Rehabilitation is 1720 Grand Ave, Waukegan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waukegan Medical And Rehabilitation |
|---|---|
| Address | 1720 Grand Ave, Waukegan, Illinois |
| Phone Number | 8476250202 |
| Fax Number | 8476250101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT- |
|---|---|
| Authorized Official Name | Bracic Ivan |
| Credentials | D.C. |
| Telephone Number | 8476250202 |
NPI Number Detail
| NPI Number | 1396892352 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2016-01-19 |
Provider Mailing Address Detail
| Address | 1720 Grand Ave |
|---|---|
| City | Waukegan |
| State | Illinois (IL) |
| Post Code | 600853502 |
| Phone Number | 8476250202 |
| Fax Number | 8476250101 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 160-004131 |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4932043 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Waukegan Medical And Rehabilitation's 1396892352?
The Waukegan Medical And Rehabilitation's NPI (National Provider Identifier) Number is 1396892352. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Waukegan Medical And Rehabilitation?
The Waukegan Medical And Rehabilitation is physically situated at 1720 Grand Ave, in the city of Waukegan, state of IL, with the postal code 600853502.
What is the Waukegan Medical And Rehabilitation's specialty and taxonomy code?
The Waukegan Medical And Rehabilitation's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396892352 to Waukegan Medical And Rehabilitation?
The Centers for Medicare & Medicaid Services originally issued the 1396892352 to Waukegan Medical And Rehabilitation on 2007-01-04.
When was the information pertaining to Waukegan Medical And Rehabilitation most recently updated or revised?
The details related to Waukegan Medical And Rehabilitation, including its address, specialty, and other relevant information, were last updated or revised on 2016-01-19.
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