MEDICARE: CHRISTOS V DILMAS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070001151	IL

General Provider Information

NPI Number	:	1548381957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOS V DILMAS PT

Provider Business Mailing Address
First Line	:	720 COOL SPRINGS BLVD
Second Line	:	SUITE 300
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2626
Country	:	US
Telephone Number	:	615-778-4066
Fax Number	:	615-778-9114

Provider Business Practice Location Address
First Line	:	2080 SPRINGER DR
Second Line	:
City	:	LOMBARD
State	:	IL
Zip	:	60148-6402
Country	:	US
Telephone Number	:	615-778-4066
Fax Number	:	615-778-9114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/28/2008

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