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HEALTHY CONNECTION PHYSICAL MEDICINE INC NPI 1770860124


NPI Information

NPI: 1770860124
Provider Name: HEALTHY CONNECTION PHYSICAL MEDICINE INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
16626 W 159TH ST
SUITE700
LOCKPORT, IL
ZIP 60441
Phone: (815) 834-9075
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HEALTHY CONNECTION PHYSICAL MEDICINE INC is a general practice in Lockport, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HEALTHY CONNECTION PHYSICAL MEDICINE INC NPI is 1770860124. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16626 W 159TH ST
SUITE700
LOCKPORT, IL
ZIP 60441-018
Phone: (815) 834-9075
Fax: (815) 834-9077

The provider's authorized official is Victor Puodziunas .
The authorized official title is Treasurer and has the following contact phone number (815) 834-9075.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 8/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice036126664ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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