Doctor Name: | MR. MICHAEL TIMOTHY FITZGERALD |
NPI Number: | 1205894045 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | |
Business Practice Address: | 9735 Southwest Hwy Oak Lawn, IL - 604533614 |
Business Phone Number: | 7084994497 |
Business Fax Number: | 7084994597 |
Mailing Address: | 6441 164th Pl, TINLEY PARK |
State: | IL |
Postal Code: | 604771818 |
Phone Number: | 7082963631 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
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 |