Provider Demographics
NPI:1578646162
Name:PASION, MARIA CRISTINA DAVID (PT)
Entity Type:Individual
Prefix:MISS
First Name:MARIA CRISTINA
Middle Name:DAVID
Last Name:PASION
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 JOAN CT
Mailing Address - Street 2:
Mailing Address - City:GILBERTS
Mailing Address - State:IL
Mailing Address - Zip Code:60136-9716
Mailing Address - Country:US
Mailing Address - Phone:847-844-1173
Mailing Address - Fax:
Practice Address - Street 1:184 S STATE ST
Practice Address - Street 2:
Practice Address - City:HAMPSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60140
Practice Address - Country:US
Practice Address - Phone:847-683-0077
Practice Address - Fax:847-683-1022
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070014845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK36602Medicare PIN