NPI 1831112176 · live from the CMS NPI Registry
Advanced Physical Medicine Of Saint Charles
Physical Therapist in St Charles, IL. National Provider Identifier 1831112176, active.
NPI record
| NPI | 1831112176 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 40w201 Wasco Rd, Ste Ab, St Charles, IL 60175 |
| Practice phone | 630-377-7788 |
| Enumerated | July 26, 2006 |
| Last updated | August 22, 2022 |
| Authorized official | David Williamson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 042-617844 (IL) |
| Family Medicine | 207Q00000X | 042-617844 (IL) |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.