Individual provider Active NPI

Quirino Lao

  • Physical Therapist
  • Franklin Park, IL
National Provider Identifier
1518328814
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070007484 Issued in IL
Practice address
2930 Mannheim Rd
Suite 1B
Franklin Park, IL 60131-2265
Phone
(708) 798-0800
Fax
(708) 798-0801
NPI assigned
Mar 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070007484 IL Primary

Addresses

Primary practice location

2930 Mannheim Rd
Suite 1B
Franklin Park, IL 60131-2265

Mailing address

575 Grosvenor LN
Aurora, IL 60504-4411
Phone (312) 320-0576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1518328814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 GROSVENOR LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044411",
            "telephone_number": "312-320-0576",
            "fax_number": "708-798-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 MANNHEIM RD",
            "address_2": "SUITE 1B",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312265",
            "telephone_number": "708-798-0800",
            "fax_number": "708-798-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAO",
        "first_name": "QUIRINO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.