Provider Demographics
NPI:1619171246
Name:SANCHEZ, CLAUDIA VERONICA (PT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:VERONICA
Last Name:SANCHEZ
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 1:5701 N SHERIDAN RD
Mailing Address - Street 2:22 P
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-4771
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5701 N SHERIDAN RD
Practice Address - Street 2:22 P
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-4771
Practice Address - Country:US
Practice Address - Phone:708-287-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.013777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist