Eileen Diane Caadan Chavez, PT
Physical Therapist in Countryside, IL. Individual provider (NPI-1).
NPI number1639708142
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1639708142
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Eileen Diane Caadan Chavez
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070022710 | IL | Yes |
Practice location
6170 Joliet Rd # ICountryside, IL 60525-3976
Phone 708-352-0330
Mailing address
2241 Desplaines Ave Apt 4North Riverside, IL 60546-1291
Phone 224-325-6622
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All 29 Physical Therapist providers in Countryside · All 275 providers in Countryside
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