MEDICARE: MR. JOVEN CHRISTOPHER TAGUINOD CERDENIA PT

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	070015277	IL

General Provider Information

NPI Number	:	1326177767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOVEN CHRISTOPHER TAGUINOD CERDENIA PT

Provider Business Mailing Address
First Line	:	2301 WILLOW RD STE L
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-7637
Country	:	US
Telephone Number	:	630-933-1500
Fax Number	:	630-933-1550

Provider Business Practice Location Address
First Line	:	2301 WILLOW RD STE L
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-7637
Country	:	US
Telephone Number	:	630-933-1500
Fax Number	:	630-933-1550

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

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	08/14/2024

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