Francisco Saucillo
Individual provider Active NPI Physical Therapy Assistant · Broadview, IL
NPI 1124401906 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1124401906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160006040 (IL)
- Practice address
- 2931 S 10TH Ave
Broadview, IL 60155-4829 - Phone
- (708) 674-0434
- NPI assigned
- Jun 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160006040 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160006040 | IL | Yes |
Addresses
Primary practice location
2931 S 10TH Ave
Broadview, IL 60155-4829
Mailing address
2931 S 10TH Ave
Broadview, IL 60155-4829
Other providers in Broadview, IL
- Presence Behavioral Health
- Sarah Jean Prokop
- Brian Louis Raymond
- Erin Reynolds
- Stacey Dianne Robertson
- Philip William Schneeberger
- SCT Physicians
- Kimberly Dolores Serrano
- Brianna Simms
- Jackie E Skinner
All providers in Broadview, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.