NPI 1487082848 · live from the CMS NPI Registry
Joanna Bakos, PT, DPT
Physical Therapist in Chicago, IL. National Provider Identifier 1487082848, active.
NPI record
| NPI | 1487082848 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4223 N Lincoln Ave, Chicago, IL 60618 |
| Practice phone | 773-661-2990 |
| Enumerated | October 23, 2013 |
| Last updated | April 2, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Orthopedic | 2251X0800X | PT871502 (DC) |
| Physical Therapist primary | 225100000X | 070022988 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.