CARLO CUSTODIO CORDERO (NPI# 1407211501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407211501 |
| Entity Type | Individual |
| Full Name | CARLO CUSTODIO CORDERO |
| Practice Address |
1899 Norwich Ln Bolingbrook IL 60490-5515 |
| Practice Telephone | 8159099491 |
| Mailing Telephone | 8159099491 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070.020489 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1899 NORWICH LN |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60490-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1841350584 | Mary M. Grimwood | Optometrist | 141 N. Weber Rd., Bolingbrook, IL 60490 | 2006-12-11 |
| 1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| 1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
| Find all providers in zip 60490 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871063933 | Hadasah Maddela | Physical Therapist | 151 E Briarcliff Rd, Bolingbrook, IL 60440-3070 | 2018-12-03 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1649693193 | Terrance Pyron | Physical Therapist | 773 Dunham Ln, Bolingbrook, IL 60440-1282 | 2014-02-03 |
| 1023430691 | Samuel Almoguera Tambago Jr. | Physical Therapist | 2224 Misty Creek Trl, Bolingbrook, IL 60490-5047 | 2014-01-15 |
| 1144658451 | Arlene Cabanban | Physical Therapist | 1879 Raes Creek Dr, Bolingbrook, IL 60490-2116 | 2013-10-23 |
| 1467748582 | Maria Rowena Napenas Partido | Physical Therapist | 1895 Norwich Ln, Bolingbrook, IL 60490-5515 | 2011-06-27 |
| 1992003974 | Richard W Freund | Physical Therapist | 233 Butte View Dr, Bolingbrook, IL 60490-1515 | 2011-03-01 |
| 1194051615 | Radha Godambe | Physical Therapist | 1830 Heather St, Bolingbrook, IL 60490-2077 | 2009-10-19 |
| 1043443922 | Patricia Victoria D. Castro- Ladra | Physical Therapist | 863 W Briarcliff Rd, Bolingbrook, IL 60440-6150 | 2009-08-26 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60490 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.