Perumbully, Shibu Porinchu

Perumbully, Shibu Porinchu is an sole proprietor health care provider with primary practice located at 9725 S Karlov Ave , Oak Lawn IL 60453-3388. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Perumbully, Shibu Porinchu can be contacted via phone (708) 422-1461.

Contact Information

Primary practice address
9725 S Karlov Ave Oak Lawn IL 60453-3388
Phone: (708) 422-1461
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.005937 Illinois

Profile Details

NPI number 1346507811
LBN Legal business name Perumbully, Shibu Porinchu
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2012
Last updated Apr 20th, 2012 - about 13 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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