Provider Demographics
NPI:1255857553
Name:BAEL, GHIA CHRISTIE FLORES
Entity Type:Individual
Prefix:
First Name:GHIA CHRISTIE
Middle Name:FLORES
Last Name:BAEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GHIA CHRISTIE
Other - Middle Name:ALEGARBES
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3652 THORNHILL DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-8085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3652 THORNHILL DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124-8085
Practice Address - Country:US
Practice Address - Phone:630-464-2802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist