CORBAN EGE (NPI# 1992369920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992369920 |
| Entity Type | Individual |
| Full Name | CORBAN EGE |
| Credential | PT,DPT |
| Practice Address |
1513 Dekalb Ave Sycamore IL 60178-2703 |
| Mailing Address |
1952 Aberdeen Ct Sycamore IL 60178-3175 |
| Practice Telephone | 8157580000 |
| Practice Fax Number | 8159919484 |
| Mailing Telephone | 8157580000 |
| Mailing Fax Number | 8159919484 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070023758 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1513 DEKALB AVE |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376503342 | James Wesley Coulter | Physical Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2006-03-24 |
| 1578127791 | Leah Scheri | Occupational Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2019-04-23 |
| 1376002980 | Cynthia Brown | Physical Therapy Assistant | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2019-03-14 |
| 1003327172 | Katherine Ellen Jones | Occupational Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2017-10-17 |
| 1467978882 | Jamieson T Credille | Physical Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2017-08-17 |
| 1972845592 | Constance Balles | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2013-03-21 |
| 1225370851 | Angela Sisson | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2013-03-21 |
| 1700135274 | Nicholas Helton | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2012-08-30 |
| 1669674727 | Leena A Karkhanis | Physical Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2007-06-01 |
| 1265553218 | Lynette Marie Rajterowski | Occupational Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467978882 | Jamieson T Credille | Physical Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986891 | Murtaza Aziz | Physical Therapist | 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 | 2020-09-14 |
| 1902416720 | Epicore Physical Therapy | Physical Therapist | 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 | 2020-08-06 |
| 1356968374 | Genevieve Joy Owen | Physical Therapist | 555 Busse Hwy Unit C1, Park Ridge, IL 60068-3189 | 2020-06-26 |
| 1518597772 | Stability Physical Therapy and Wellness, LLC | Physical Therapist | 5031 W Balmoral Ave, Chicago, IL 60630-1507 | 2020-01-16 |
| 1154972719 | Antonio Marquez | Physical Therapist | 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 | 2019-09-25 |
| 1376198978 | Natalie N Ruebke | Physical Therapist | 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 | 2019-08-09 |
| 1902360241 | Stephanie Lynne Burkhart | Physical Therapist | 12251 W 159th St, Homer Glen, IL 60491-7847 | 2019-01-30 |
| 1003388943 | Scoliosis Therapy Care and More LLC | Physical Therapist | 4n369 Booth Tarkington St, St Charles, IL 60175-7731 | 2018-12-17 |
| 1912478082 | Brandon Donnelly | Physical Therapist | 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 | 2018-12-16 |
| 1497251086 | John William Herbert | Physical Therapist | 1316 N Route 59, Naperville, IL 60563-4286 | 2018-04-03 |
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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.