Provider Demographics
NPI:1942751383
Name:ARTICULO, CARLITO JR (RPT)
Entity Type:Individual
Prefix:
First Name:CARLITO
Middle Name:
Last Name:ARTICULO
Suffix:JR
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 LEXINGTON LN
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-2104
Mailing Address - Country:US
Mailing Address - Phone:813-335-4045
Mailing Address - Fax:
Practice Address - Street 1:403 LEXINGTON LN
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-2104
Practice Address - Country:US
Practice Address - Phone:813-335-4045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.019566225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILA63211085027OtherDRIVER'S LICENSE