| Doctor Name: | PAUL A. TUAZON |
| NPI Number: | 1225437502 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 070020828 |
| Business Practice Address: | 426 E 162nd St South Holland, IL - 604732258 |
| Business Phone Number: | 7083330677 |
| Business Fax Number: | 7083331170 |
| Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
| State: | IL |
| Postal Code: | 604404909 |
| Phone Number: | 6302962222 |
| Fax Number: | 6307599510 |
| NPI Enumeration Date: | 08/22/2014 |
| NPI Last Update Date: | 04/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 070020828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |