Provider Demographics
NPI:1891841565
Name:PARAGAS, DENNIS ABADA (PT)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:ABADA
Last Name:PARAGAS
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 1:16520 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-4648
Mailing Address - Country:US
Mailing Address - Phone:630-880-1364
Mailing Address - Fax:630-243-0849
Practice Address - Street 1:16520 WILLOW DR
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-4648
Practice Address - Country:US
Practice Address - Phone:630-880-1364
Practice Address - Fax:630-243-0849
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070011963225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist