Provider Demographics
NPI:1093385064
Name:BRITANICO, ARNOLD (PT)
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:
Last Name:BRITANICO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:ARNOLD
Other - Middle Name:ROCILLO
Other - Last Name:BRITANICO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:9933 LAWLER AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3753
Mailing Address - Country:US
Mailing Address - Phone:847-786-0123
Mailing Address - Fax:
Practice Address - Street 1:9933 LAWLER AVE STE 105
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3753
Practice Address - Country:US
Practice Address - Phone:847-786-0123
Practice Address - Fax:847-264-9088
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
IL070016106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist