Noel Grandas in Hines - Rehabilitation Practitioner

Noel Grandas - NPI 1831265016

Noel Grandas is a Rehabilitation Practitioner in Hines, Illinois. Noel Grandas practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Noel Grandas is 1831265016. The last update date is 2010-08-09.

Noel Grandas's current location address is 5000 S 5th Ave, Hines, Illinois. You can contact this provider via phone number 7082022282 and fax number 7082022281. The mailing address for Noel Grandas is 5000 S 5th Ave, Hines, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Noel Grandas
Address 5000 S 5th Ave, Hines, Illinois
Phone Number 7082022282
Fax Number 7082022281
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1831265016
Provider Enumeration Date 2006-11-28
Last Updated Date 2010-08-09

Provider Mailing Address Detail

Address 5000 S 5th Ave
City Hines
State Illinois (IL)
Post Code 601413030
Phone Number 7082022282
Fax Number 7082022281

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Licence No 36113697
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36113697 IL --
363236791 IL TAX ID #

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FAQs about Noel Grandas

What is the unique provider identifier assigned to Noel Grandas?

The Noel Grandas has been issued the NPI (National Provider Identifier) 1831265016 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 street address where Noel Grandas is physically located?

The Noel Grandas is physically situated at the following address: 5000 S 5Th Ave, Hines, IL, 601413030.

What is the Noel Grandas's specialty and taxonomy code?

The Noel Grandas's specialty is Rehabilitation Practitioner, and the corresponding taxonomy code is 225400000X.

When did the Noel Grandas receive its 1831265016?

The Noel Grandas was issued its 1831265016 on 2006-11-28, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Noel Grandas last refreshed?

The information related to the Noel Grandas, including its address, specialty, and other relevant details, was last updated on 2010-08-09.

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