Doctor Name: | MR. JOHN T. COMEROUSKI |
NPI Number: | 1821214594 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070003076 |
Business Practice Address: | 818 Oak Creek Drive Lombard, IL - 60148 |
Business Phone Number: | 6302681045 |
Business Fax Number: | 6302681047 |
Mailing Address: | 5 N. 425 Eagle Terrace, ITASCA |
State: | IL |
Postal Code: | 60143 |
Phone Number: | 6302508969 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070003076 |
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 |