Jerome Del Rosario Abon, PT
Individual provider Active NPI Physical Therapist · Wheaton, IL
NPI 1215465745 · NPPES record last updated May 29, 2017
Key facts
- NPI
- 1215465745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 2080 Windham Cir
Wheaton, IL 60187-2307 - Phone
- (630) 670-7894
- NPI assigned
- May 29, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
2080 Windham Cir
Wheaton, IL 60187-2307
Mailing address
2080 Windham Cir
Wheaton, IL 60187-2307
Phone (630) 670-7894
Other providers in Wheaton, IL
- Abc Rehab Inc
- Yasmin Samir Zaky Ali Abdelmawla
- Lubna Qazi Abdullah
- Greta L Abel
- Lynn Mary Ables
- Heba Abuseini
- Accelerated Rehabilitation Centers, LTD
- Accelerated Rehabilitation Centers, LTD
- Smriti Gandhi Acevedo
- George Rowe Acker
All providers in Wheaton, IL · 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 May 29, 2017. 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.