Baron, Theresa M
Baron, Theresa M is an individual health care provider with primary practice located at 2777 Maple Ave , Lisle IL 60532-3280. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Baron, Theresa M can be contacted via phone (630) 326-8810.Contact Information
Primary practice address
2777 Maple Ave
Lisle IL 60532-3280
Phone: (630) 326-8810
Fax: (630) 326-8813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4433-024 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 62-039 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-016793 | Illinois |
Profile Details
| NPI number | 1861475220 |
|---|---|
| LBN Legal business name | Baron, Theresa M |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Oct 26th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861475220 | NPPES |
| Wisconsin | Other | 000080070 | MEDICARE GROUP NUMBER |
| Wisconsin | Other | P00248075 | MEDICARE GROUP NUMBER |
| Wisconsin | Other | P00920594 | MEDICARE GROUP NUMBER |
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