Provider Demographics
NPI:1942476726
Name:DADIOS, SHERWIN CABAHIT (PT)
Entity Type:Individual
Prefix:MR
First Name:SHERWIN
Middle Name:CABAHIT
Last Name:DADIOS
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 1:1001 E PELLS ST
Mailing Address - Street 2:
Mailing Address - City:PAXTON
Mailing Address - State:IL
Mailing Address - Zip Code:60957-1300
Mailing Address - Country:US
Mailing Address - Phone:217-379-4361
Mailing Address - Fax:217-379-3325
Practice Address - Street 1:4553 IMPERIAL DR APT 3F
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-2474
Practice Address - Country:US
Practice Address - Phone:417-396-0712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070015402225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist