Rodolfo T Abiera, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Streamwood, IL
NPI 1295893147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295893147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1205 South Park Ave
Streamwood, IL 60107-2902 - Phone
- (630) 837-6980
- Fax
- (630) 837-6980
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 070000761 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
1205 South Park Ave
Streamwood, IL 60107-2902
Mailing address
1205 South Park Ave
Streamwood, IL 60107-2902
Phone (630) 837-6980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01683332 | Other | IL | BLUE CROSS BLUE SHIELD |
Other providers in Streamwood, IL
- 21St Century Home Healthcare Inc
- 24-7 Clinic Corp
- A. G. Lung Associates, P.C.
- Victor Adeniyi Akinola
- Farzana Alam
- Ellen Aldana
- Aleksandar Kondic, Inc
- Nouman Ali
All providers in Streamwood, 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 Jul 8, 2007. 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.