Provider Demographics
NPI:1811099021
Name:TUNINK, MICHAEL JAMES (DPT, PT, OCS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:TUNINK
Suffix:
Gender:M
Credentials:DPT, PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2782 N DAVID CT
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:IL
Mailing Address - Zip Code:61061-9396
Mailing Address - Country:US
Mailing Address - Phone:815-734-7060
Mailing Address - Fax:
Practice Address - Street 1:1985 DEKALB AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-3107
Practice Address - Country:US
Practice Address - Phone:815-754-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2251E1200X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic