Passarelli, Johnny

Passarelli, Johnny is an individual health care provider with primary practice located at 1294 S Route 12 , Fox Lake IL 60020-1950. 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. Passarelli, Johnny can be contacted via phone (847) 973-9440.

Contact Information

Primary practice address
1294 S Route 12 Fox Lake IL 60020-1950
Phone: (847) 973-9440
Fax: (847) 973-9442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6036024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-010887 Illinois

Profile Details

NPI number 1265461958
LBN Legal business name Passarelli, Johnny
Credentials PT, MPT, CSCS, SCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 17th, 2018 - about 6 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 1265461958 NPPES
Wisconsin MEDICAID 40309400

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