Santucci, William
Santucci, William is an individual health care provider with primary practice located at 1306 Gemini Cir Suite 3, Ottawa IL 61350-1694. 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. Santucci, William can be contacted via phone (815) 431-9980.Contact Information
Primary practice address
1306 Gemini Cir Suite 3
Ottawa IL 61350-1694
Phone: (815) 431-9980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 0501890A | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070017401 | Illinois |
Profile Details
| NPI number | 1881929362 |
|---|---|
| LBN Legal business name | Santucci, William |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2009 |
| Last updated | Dec 3rd, 2013 - about 12 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 | 1881929362 | NPPES |
| Illinois | Other | P01062370 | MEDICARE RAILROAD |
| Illinois | Other | P01228239 | MEDICARE RAILROAD |
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