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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EMELYN B AGONCILLO, PT

Active

EMELYN B AGONCILLO, PT is a Physical Therapy Assistant healthcare provider located in BELLWOOD, Illinois. NPI 1205142650 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BELLWOOD, IL

Registration Details

NPI Number
1205142650
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2010 (15.94107386072 yrs)
Last Updated
Oct 1, 2019
License
070008627 (IL)

Practice Information

Address
2615 HARRISON ST
BELLWOOD, IL, 601042450
Browse IL providers · Browse ZIP 60104
Phone
7084930399
Fax
7084939683
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BELLWOOD, IL

Name Credential NPI
DR. ALYSIA SARA BEIRNE PT, DPT 1578287041
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.