Doctor Name: | MS. SUZANNE ACERON BADILLO |
NPI Number: | 1639245301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | |
Business Practice Address: | 420 Thatcher Ave River Forest, IL - 603051635 |
Business Phone Number: | 3122385917 |
Business Fax Number: | 7084273651 |
Mailing Address: | 4317 N Kenneth Ave, CHICAGO |
State: | IL |
Postal Code: | 606412009 |
Phone Number: | 7732055632 |
Fax Number: | 7084273651 |
NPI Enumeration Date: | 11/27/2006 |
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 |