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Contact Information

JOHN M ABANTAO JR
1001 E PELLS ST
PAXTON, IL60957-1300
 Phone: 217-379-4361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JOHN M ABANTAO JR · (Male)

NPI # 1003554759
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2022
Last updated 05/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 070.024114
  • NY License # 040925-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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