Healthcare Provider Details

I. General information

NPI: 1801443478
Provider Name (Legal Business Name): CASSANDRA BILEK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 08/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N COMMONS DR STE 102
AURORA IL
60504-4155
US

IV. Provider business mailing address

140 AUGUSTA DR
PALOS HEIGHTS IL
60463-2905
US

V. Phone/Fax

Practice location:
  • Phone: 708-478-1820
  • Fax:
Mailing address:
  • Phone: 708-278-2201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070024546
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: