Massopust, Robert A

Massopust, Robert A is an individual health care provider with primary practice located at 721 W Lake St Suite 110, Addison IL 60101-2035. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Massopust, Robert A can be contacted via phone (630) 543-7450.

Contact Information

Primary practice address
721 W Lake St Suite 110 Addison IL 60101-2035
Phone: (630) 543-7450
Fax: (630) 543-7475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070010142 Illinois

Profile Details

NPI number 1821272659
LBN Legal business name Massopust, Robert A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2007
Last updated Dec 1st, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821272659 NPPES
Illinois Other 070010142 ILLINOIS LICENSE

Popular Providers