Healthcare Provider Details

I. General information

NPI: 1437251469
Provider Name (Legal Business Name): WILLIAM DELL MOST BA, MS, RKT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5TH AVE AND ROOSEVELT ROAD ROUTING NUMBER 117C HINES VA HOSPITAL
HINES IL
60141
US

IV. Provider business mailing address

6713 TENNESSEE AVE
DARIEN IL
60561-3848
US

V. Phone/Fax

Practice location:
  • Phone: 708-202-3936
  • Fax:
Mailing address:
  • Phone: 630-325-9124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: