Kristine Mae Martinez Banas, RPT
Individual provider Active NPI Physical Therapist · Rosemont, IL
NPI 1669701553 · NPPES record last updated Dec 23, 2009
Key facts
- NPI
- 1669701553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.017019 (IL)
- Practice address
- 10700 W Higgins Rd
Suite 120
Rosemont, IL 60018-3707 - Phone
- (847) 299-2801
- NPI assigned
- Dec 23, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017019 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Professional Healthcare Providers Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.017019 | IL | Yes |
Addresses
Primary practice location
10700 W Higgins Rd
Suite 120
Rosemont, IL 60018-3707
Mailing address
4945 N Nagle Ave
Chicago, IL 60630-2927
Phone (773) 681-6142
Other providers in Rosemont, IL
- Anesthesia2Go PLLC
- Zaman Ali Ansari
- Attuned Care Home Health Il, LLC
- Attuned Primary Care, LLC
- Avaya Therapy, LTD
- Faith Beronio
- Steve James Betzelos
- Matthew Brod
- Nina Budhwani
- Tennesee Iris Ramos Carayo
All providers in Rosemont, 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 Dec 23, 2009. 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.