Active NPI
Ilea K Pavel, PT, DPT
- Physical Therapist
- Elmhurst, IL
National Provider Identifier
1972855815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.017647
- Practice address
- 1200 S York Rd
Elmhurst, IL 60126-5626 - Phone
- (630) 758-8111
- Fax
- (630) 758-8387
- NPI assigned
- Oct 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.017647 | IL | Primary |
Addresses
Primary practice location
1200 S York Rd
Elmhurst, IL 60126-5626
Mailing address
1113 Short St
Lisle, IL 60532-2338
Phone (630) 567-4532
Other names 1
- Miss Ilea M Knez
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017647 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1972855815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 SHORT ST",
"city": "LISLE",
"state": "IL",
"postal_code": "605322338",
"telephone_number": "630-567-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S YORK RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265626",
"telephone_number": "630-758-8111",
"fax_number": "630-758-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVEL",
"first_name": "ILEA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ILEA",
"last_name": "KNEZ",
"middle_name": "M",
"prefix": "MISS",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.