Doctor Name: | MR. JOHN LAWERANCE MAXWELL |
NPI Number: | 1184875254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070.013830 |
Business Practice Address: | 2111 Ogden Ave Aurora, IL - 60504 |
Business Phone Number: | 6302200626 |
Business Fax Number: | 6302994721 |
Mailing Address: | 2111 Ogden Ave, AURORA. |
State: | IL |
Postal Code: | 60504 |
Phone Number: | 6309783800 |
Fax Number: | 6302994721 |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.013830 |
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 |