Provider Demographics
NPI:1518333814
Name:CAGINALP, JAMES (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:CAGINALP
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 W VAN BUREN ST
Mailing Address - Street 2:SUITE 419
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3523
Mailing Address - Country:US
Mailing Address - Phone:877-709-1090
Mailing Address - Fax:630-876-9187
Practice Address - Street 1:19 S LASALLE ST
Practice Address - Street 2:OFFICE 503
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603
Practice Address - Country:US
Practice Address - Phone:773-541-2020
Practice Address - Fax:312-277-7172
Is Sole Proprietor?:No
Enumeration Date:2015-08-20
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070021684225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist