Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | IL | |
N | 225XE1200X | Ergonomics | IL | |
N | 2251S0007X | Physical Therapist - Sports | IL | |
N | 2251X0800X | Physical Therapist - Orthopedic | IL |
NPI | 1811099021 |
---|---|
Provider Name | Dr. Michael James Tunink |
First Address | Oregon, IL 61061-9396 |
Second Address | Sycamore, IL 60178-3107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 08/07/2007 |