Sean Charles McNamee, PT
Individual provider Active NPI Physical Therapist · Alsip, IL
NPI 1972808681 · NPPES record last updated Jan 12, 2011
Key facts
- NPI
- 1972808681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 12642 S Menard Ave
Alsip, IL 60803-3548 - Phone
- (708) 684-5425
- NPI assigned
- Jan 12, 2011
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
12642 S Menard Ave
Alsip, IL 60803-3548
Mailing address
12642 S Menard Ave
Alsip, IL 60803-3548
Other providers in Alsip, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2011. 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.