Provider Demographics
NPI:1891305660
Name:DADO, REYNALDO D (PT)
Entity Type:Individual
Prefix:MR
First Name:REYNALDO
Middle Name:D
Last Name:DADO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 CEDAR CREEK CUT-OFF RD
Mailing Address - Street 2:
Mailing Address - City:WAUCONDA
Mailing Address - State:IL
Mailing Address - Zip Code:60084
Mailing Address - Country:US
Mailing Address - Phone:847-404-4248
Mailing Address - Fax:847-487-7147
Practice Address - Street 1:2751 CEDAR CREEK CUT-OFF RD
Practice Address - Street 2:
Practice Address - City:WAUCONDA
Practice Address - State:IL
Practice Address - Zip Code:60084
Practice Address - Country:US
Practice Address - Phone:847-404-4248
Practice Address - Fax:847-487-7147
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.0079732081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine