Provider Demographics
NPI:1821498361
Name:PANIAGUA, TOSHIKO (PT, DPT)
Entity Type:Individual
Prefix:
First Name:TOSHIKO
Middle Name:
Last Name:PANIAGUA
Suffix:
Gender:F
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 1:400 S COUNTY FARM RD
Practice Address - Street 2:SUITE 310
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4547
Practice Address - Country:US
Practice Address - Phone:877-709-1090
Practice Address - Fax:630-876-9187
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070020949225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist