Doctor Name: | WILSON FLANCO LABIDEZ |
NPI Number: | 1356582753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070.016225 |
Business Practice Address: | 9416 Skokie Blvd Skokie, IL - 600771311 |
Business Phone Number: | 8476734800 |
Business Fax Number: | 8476739322 |
Mailing Address: | 9416 Skokie Blvd, SKOKIE |
State: | IL |
Postal Code: | 600771311 |
Phone Number: | 8476734800 |
Fax Number: | 8476739322 |
NPI Enumeration Date: | 03/13/2009 |
NPI Last Update Date: | 03/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.016225 |
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 |