Doctor Name: | MR. JOSE J BECERRA |
NPI Number: | 1629248703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070009974 |
Business Practice Address: | 2100 Glenwood Ave Joliet, IL - 604355487 |
Business Phone Number: | 8157252121 |
Business Fax Number: | 8157416030 |
Mailing Address: | 1860 Paysphere Cir, CHICAGO |
State: | IL |
Postal Code: | 606740018 |
Phone Number: | 8157252121 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070009974 |
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 |