MEDICARE: MRS. AMY HANNA PARIBELLO P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070012326	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	070012326	OTHER	IL	STATE LICENSE

General Provider Information

NPI Number	:	1023013273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY HANNA PARIBELLO P.T.

Provider Business Mailing Address
First Line	:	3015 E NEW YORK ST.
Second Line	:	STE A2 #274
City	:	AURORA
State	:	IL
Zip	:	60504-5162
Country	:	US
Telephone Number	:	513-535-2948
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 WEBSTER ST
Second Line	:
City	:	MONTGOMERY
State	:	IL
Zip	:	60538-1324
Country	:	US
Telephone Number	:	630-326-7654
Fax Number	:	630-597-2545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/28/2025

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