Will K Barquin

Individual provider Active NPI Physical Therapist · Round Lake, IL

NPI 1457519258 · NPPES record last updated May 28, 2008

Key facts

NPI
1457519258
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
751 S Montclair Dr
Round Lake, IL 60073-5422
Phone
(847) 740-8537
NPI assigned
May 28, 2008
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)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

751 S Montclair Dr
Round Lake, IL 60073-5422

Mailing address

751 S Montclair Dr
Round Lake, IL 60073-5422

Other names

  • Wilfredo K Barquin Former name

Other providers in Round Lake, IL

All providers in Round Lake, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.