SearchIllinois225100000X

Joseph Fadullon, PHYSICAL THERAPIST

NPI 1386786432 · on the registry since 2007 · sole proprietor

Practice

Address
386 Clubhouse St
Bolingbrook, IL 60490
Phone
(906) 748-0183
Fax
(630) 759-6873
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
2251G0304X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois