Matias, Teresa

Matias, Teresa is an individual health care provider with primary practice located at 2674 Washington St , Waukegan IL 60085-4917. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Matias, Teresa can be contacted via phone (847) 336-8089.

Contact Information

Primary practice address
2674 Washington St Waukegan IL 60085-4917
Phone: (847) 336-8089
Fax: (847) 336-8079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2515-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-005449 Illinois

Profile Details

NPI number 1598991879
LBN Legal business name Matias, Teresa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2009
Last updated Apr 21st, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598991879 NPPES
Illinois Other 539320005 MEDICARE
Illinois Other P01119496 MEDICARE
Illinois Other 859400055 MEDICARE
Illinois Other IL6697002 MEDICARE
Illinois Other IL6237007 MEDICARE
Illinois Other 205086005 MEDICARE
Illinois Other IL6238007 MEDICARE

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