Healthcare Provider Details

I. General information

NPI: 1982518254
Provider Name (Legal Business Name): JEFFREY RAYOS PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 BRETON AVE
NORTH AURORA IL
60542-6014
US

IV. Provider business mailing address

205 W GRAND AVE STE 101
BENSENVILLE IL
60106-3397
US

V. Phone/Fax

Practice location:
  • Phone: 331-702-1578
  • Fax:
Mailing address:
  • Phone: 866-573-2556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.019133
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: