Suzanne Aceron Badillo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070011033 Issued in IL

Practice address

528 Kedzie St
Evanston, IL 60202-2306

Phone

(773) 791-5969

Fax

(773) 791-5969

NPI assigned

Nov 27, 2006

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

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.

• Link Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Evanston, IL
  • NPI 1225547045

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639245301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HULL TER # 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023201",
            "telephone_number": "773-791-5969",
            "fax_number": "847-905-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 KEDZIE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022306",
            "telephone_number": "773-791-5969",
            "fax_number": "773-791-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Thatcher Ave",
            "address_purpose": "LOCATION",
            "city": "River Forest",
            "state": "IL",
            "postal_code": "603051635",
            "country_code": "US",
            "telephone_number": "312-238-5917",
            "fax_number": "708-427-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "SUZANNE",
        "middle_name": "ACERON",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back-N-Balance Physical Therapy and Rehab Specialists
• Maria Iana Baczek, MSN, RN
• John Badagliacco, MS
• Ami Umesh Badami, M.D.
• Diana Baden, PT
• Ellen R Badofsky, MA, CCC-SLP
• Daniel Bahner, LPC
• Godelive Pindila Bahombwa
• Julian E Bailes Jr., MD
• Althea Bailey

• Physical Therapist in Evanston, IL
• Providers in Evanston, 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 17, 2018; 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.