Provider Demographics
NPI:1619954617
Name:AQUINO, RUFINO P (PT,DPT,OCS,CERTMDT)
Entity Type:Individual
Prefix:
First Name:RUFINO
Middle Name:P
Last Name:AQUINO
Suffix:
Gender:M
Credentials:PT,DPT,OCS,CERTMDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 W HIGGINS RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3203
Mailing Address - Country:US
Mailing Address - Phone:847-885-0078
Mailing Address - Fax:847-885-0026
Practice Address - Street 1:929 W HIGGINS RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3203
Practice Address - Country:US
Practice Address - Phone:847-885-0078
Practice Address - Fax:847-885-0026
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-013891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK15134Medicare ID - Type UnspecifiedMEDICARE #