MEDICARE: DR. RAFAEL SERRANO PT, DPT

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	70011701	IL

General Provider Information

NPI Number	:	1780896258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAFAEL SERRANO PT, DPT

Provider Business Mailing Address
First Line	:	1264 W WINONA ST
Second Line	:	UNIT 3A
City	:	CHICAGO
State	:	IL
Zip	:	60640-2937
Country	:	US
Telephone Number	:	773-983-8470
Fax Number	:

Provider Business Practice Location Address
First Line	:	1264 W WINONA ST
Second Line	:	UNIT 3A
City	:	CHICAGO
State	:	IL
Zip	:	60640-2937
Country	:	US
Telephone Number	:	773-983-8470
Fax Number	:

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	03/02/2012

Similar Medicare Providers

1144307596 — SINAI TOUCHY PHARMACY L L C
Practice Location Address:

2907 W TOUHY AVE
CHICAGO, IL
60645-2937

Practice Phone: 773-274-3593
Practice Fax: 773-274-3741

1952449456 — MOUNT SINAI COMMUNITY FOUNDATION
Practice Location Address:

2901 W TOUHY AVE
CHICAGO, IL
60645-2937

Practice Phone: 773-973-7350
Practice Fax:

1366564189 — MR. WARREN EDWARD SZKUDLAREK SR. NAPRAPTH DN
Practice Location Address:

2937 LOGAN BLVD
CHICAGO, IL
60647-1760

Practice Phone: 773-490-0130
Practice Fax: 773-384-6598

1982800306 — MS. MARINA ELYASH PA-C
Practice Location Address:

2901 W TOUHY AVE
CHICAGO, IL
60645-2937

Practice Phone: 773-973-7350
Practice Fax:

1366609125 — DR. LUKA BUNDALO DDS
Practice Location Address:

2925 W TOUHY AVE
CHICAGO, IL
60645-2937

Practice Phone: 773-465-2600
Practice Fax: 773-465-2724

1548422496 — KEITH R BOYD MD
Practice Location Address:

2937 W 63RD ST
CHICAGO, IL
60629

Practice Phone: 773-309-0141
Practice Fax: 773-309-0147

Directions to “ DR. RAFAEL SERRANO PT, DPT” 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 © 2007-2026 (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.