BJ Anne Lencioco Dilag

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016881 Issued in IL

Practice address

3847 W 95TH St
Evergreen Park, IL 60805-2020

Phone

(708) 422-4441

NPI assigned

Mar 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Home Therapy Associates

  • In Home Supportive Care Agency
  • Evergreen Park, IL
  • NPI 1457590275
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1346481876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3847 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052020",
            "telephone_number": "708-422-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILAG",
        "first_name": "BJ ANNE",
        "middle_name": "LENCIOCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diabetes & Endocrine Care LTD
• Dialysis Care Center Evergreen Park LLC
• Robin Diaz-Grady, RD, CSR, LDN
• Viviana Andrea Diaz
• Michelle Dignan, APRN
• Diversity Health Crae, Inc
• Dolores Dixon-Grevious, MD
• Valerie Ann Doherty, M.A.
• Dr Bela Pandit PC
• Dr George Charuk S C

• Physical Therapist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.