Provider Demographics
NPI:1093539215
Name:CUARTERO, JOHN RAY (DPT)
Entity type:Individual
Prefix:
First Name:JOHN RAY
Middle Name:
Last Name:CUARTERO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 BRENDON DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-2416
Mailing Address - Country:US
Mailing Address - Phone:224-241-4891
Mailing Address - Fax:
Practice Address - Street 1:4847 HOFFMAN BLVD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192
Practice Address - Country:US
Practice Address - Phone:630-368-1776
Practice Address - Fax:773-967-1112
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.028569225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist