Stacey Oommen
Physical Therapist Physical Therapist - Neurology
17045 Torrence Ave Unit 300
Lansing
, Illinois 60438-1014
Stacey Oommen
Physical Therapist Physical Therapist - Neurology
17045 Torrence Ave Unit 300
Lansing
, Illinois 60438-1014
(630) 575-1980
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Stacey Oommen
- 2122 York Rd Ste 300
- Oak Brook, IL
- Zip : 60523-1925
- Phone : (630) 575-1980
Second Address
- Stacey Oommen
- 17045 Torrence Ave Unit 300
- Lansing, IL
- Zip : 60438-1014
- Fax : (708) 418-3931
- Phone : (708) 418-3580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070.023088 | IL |
| N | 2251N0400X | Physical Therapist - Neurology | 070.023088 | IL |
National Provider Identifier
| NPI | 1578076436 |
|---|---|
| Provider Name | Stacey Oommen |
| First Address | Oak Brook, IL 60523-1925 |
| Second Address | Lansing, IL 60438-1014 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2017 |
| Last Update Date | 30/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.