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PENTAFIL PHYSICAL THERAPY SERVICE NPI 1346368347


NPI Information

NPI: 1346368347
Provider Name: PENTAFIL PHYSICAL THERAPY SERVICE
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
790 ROYAL SAINT GEORGE DR
SUITE 105
NAPERVILLE, IL
ZIP 60563
Phone: (630) 527-6370
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PENTAFIL PHYSICAL THERAPY SERVICE is a rehabilitation clinic center in Naperville, IL. PENTAFIL PHYSICAL THERAPY SERVICE NPI is 1346368347. The provider is registered as an organization entity type.

The provider's business location address is:

790 ROYAL SAINT GEORGE DR
SUITE 105
NAPERVILLE, IL
ZIP 60563-955
Phone: (630) 527-6370
Fax: (630) 527-6374

The provider's authorized official is Olymphia Roldan Tesoro .
The authorized official title is President and has the following contact phone number (630) 527-6370.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 1/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1205190MEDICARE PINILLINOIS
22215734OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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