Healthcare Provider Details

I. General information

NPI: 1538131180
Provider Name (Legal Business Name): PHILIP CHIARAMONTE ATC, RKT, MHA
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 WILLOWCREEK CT CLARENDON HILLS
CLARENDON HILLS IL
60514-1691
US

IV. Provider business mailing address

517 WILLOWCREEK CT CLARENDON HILLS
CLARENDON HILLS IL
60514-1691
US

V. Phone/Fax

Practice location:
  • Phone: 708-202-3937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number1492
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: