Steve Dulak, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070012767 Issued in IL

Practice address

495 N Riverside Dr
Suite 112
Gurnee, IL 60031-5908

Phone

(847) 244-8420

Fax

(847) 249-4338

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy of Gurnee Inc

  • Physical Therapist
  • Gurnee, IL
  • NPI 1184804965
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1265447841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 N RIVERSIDE DR",
            "address_2": "SUITE 112",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315908",
            "telephone_number": "847-244-8420",
            "fax_number": "847-249-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N RIVERSIDE DR",
            "address_2": "SUITE 112",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315908",
            "telephone_number": "847-244-8420",
            "fax_number": "847-249-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULAK",
        "first_name": "STEVE",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "04932440",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin A Dubin, M.D.
• Sonia Dubose, MSW, LCSW, CADC
• Abigail Irene Dudek
• Robert Dugan, MD
• Alisa Marie Dulak, PT
• Kaitlyn Duran, BS
• Tina Marie Durrant, PHARM. D.
• Lisa K Dworkin, BCBA
• Lisa Marie Dydo, LSW
• Dynamic Hand Therapy & Rehabilitation Limited Partnership

• Physical Therapist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.