MEDICARE: MRS. REEMA TARUN CHANNA

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	13699	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730686346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REEMA TARUN CHANNA

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1728 W GLENDALE AVE STE 102
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8862
Country	:	US
Telephone Number	:	602-249-0202
Fax Number	:

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	07/31/2024

Similar Medicare Providers

1114921871 — VIBRANTCARE OUTPATIENT REHABILITATION WEST INC
Practice Location Address:

1728 W GLENDALE AVE STE 102
PHOENIX, AZ
85021-8862

Practice Phone: 602-249-0202
Practice Fax: 602-249-0004

1316290893 — DR. KATHERINE EDITHE KENNEDY DPM
Practice Location Address:

1728 W GLENDALE AVE STE 100
PHOENIX, AZ
85021-8862

Practice Phone: 480-812-3668
Practice Fax: 480-782-1290

1417367061 — RPHH LLC
Practice Location Address:

1728 W GLENDALE AVE STE 101
PHOENIX, AZ
85021-8862

Practice Phone: 602-800-7855
Practice Fax: 602-344-9098

1164439071 — STEVEN RICHARD DIPAOLA P.T.
Practice Location Address:

4050 E COTTON CENTER BLVD STE 18
PHOENIX, AZ
85040-8862

Practice Phone: 303-859-7474
Practice Fax:

1003248154 — DR. CHRIS WILLIAM SMITH D.C.
Practice Location Address:

2655 W CAREFREE HWY
PHOENIX, AZ
85085-8862

Practice Phone: 480-221-0621
Practice Fax:

1518367309 — JOSEPH FAIA
Practice Location Address:

2655 W CAREFREE HWY
PHOENIX, AZ
85085-8862

Practice Phone: 623-434-4655
Practice Fax: 623-434-4657

Directions to “ MRS. REEMA TARUN CHANNA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.