Provider Demographics
NPI:1831508498
Name:ATUN, ALVIN GARCIA (PTA)
Entity type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:GARCIA
Last Name:ATUN
Suffix:
Gender:M
Credentials:PTA
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Mailing Address - Street 1:3 VILLA VERDE DR
Mailing Address - Street 2:UNIT 315
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4175
Mailing Address - Country:US
Mailing Address - Phone:773-580-7009
Mailing Address - Fax:
Practice Address - Street 1:3 VILLA VERDE DR
Practice Address - Street 2:UNIT 315
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4175
Practice Address - Country:US
Practice Address - Phone:773-580-7009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160006803225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant