Doctor Name: | MR. CONSTANTINE P BOLOS |
NPI Number: | 1184788663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070011648 |
Business Practice Address: | 3300 Kirchoff Rd Rolling Meadows, IL - 600081824 |
Business Phone Number: | 8476183880 |
Business Fax Number: | 8476183889 |
Mailing Address: | 1534 E Best Dr, ARLINGTON HEIGHTS |
State: | IL |
Postal Code: | 600041621 |
Phone Number: | 8473982656 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070011648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |