Riza Acas
Individual provider Active NPI Geriatric Physical Therapist · Elgin, IL
NPI 1154722916 · NPPES record last updated Sep 11, 2014
Key facts
- NPI
- 1154722916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- 070019096 (IL)
- Practice address
- 3305 Wanskuck St
Elgin, IL 60124-4322 - Phone
- (702) 885-6239
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- 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 |
|---|---|---|---|
| 070019096 | IL | MD | Geriatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 070019096 | IL | Yes |
Addresses
Primary practice location
3305 Wanskuck St
Elgin, IL 60124-4322
Mailing address
3305 Wanskuck St
Elgin, IL 60124-4322
Phone (702) 885-6239
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All providers in Elgin, IL · Geriatric Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2014. 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.