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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265461958 | NPPES |
| Wisconsin | MEDICAID | 40309400 |
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