Bagang, Dennis
Bagang, Dennis is an individual health care provider with primary practice located at 2534 E Lincoln Hwy , New Lenox IL 60451-9712. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bagang, Dennis can be contacted via phone (815) 462-9420.Contact Information
Primary practice address
2534 E Lincoln Hwy
New Lenox IL 60451-9712
Phone: (815) 462-9420
Fax: (815) 462-9421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1023126687 |
|---|---|
| LBN Legal business name | Bagang, Dennis |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Oct 27th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023126687 | NPPES |
| Illinois | MEDICAID | 3640571036046701 |
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