1023013273 NPI number — MRS. AMY HANNA PARIBELLO P.T.

Table of content: MRS. AMY HANNA PARIBELLO P.T. (NPI 1023013273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023013273 NPI number — MRS. AMY HANNA PARIBELLO P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARIBELLO
Provider First Name:
AMY
Provider Middle Name:
HANNA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023013273
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
212 WEBSTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60538-1324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-326-7654
Provider Business Practice Location Address Fax Number:
630-597-2545
Provider Enumeration Date:
06/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  070012326 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 070012326 . This is a "STATE LICENSE" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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