Healthcare Provider Details

I. General information

NPI: 1093539215
Provider Name (Legal Business Name): JOHN RAY CUARTERO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 01/07/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4847 HOFFMAN BLVD
HOFFMAN ESTATES IL
60192
US

IV. Provider business mailing address

909 BRENDON DR
SCHAUMBURG IL
60194-2416
US

V. Phone/Fax

Practice location:
  • Phone: 630-368-1776
  • Fax: 773-967-1112
Mailing address:
  • Phone: 224-241-4891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.028569
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: