Provider Demographics
NPI:1861606931
Name:EUGENIO, MARIE C (PT, DPT)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:C
Last Name:EUGENIO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MARIE CEANETTE
Other - Middle Name:
Other - Last Name:ARGUELLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1116 N PINE AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-4721
Mailing Address - Country:US
Mailing Address - Phone:312-513-7034
Mailing Address - Fax:
Practice Address - Street 1:777 CHURCH ST
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-1404
Practice Address - Country:US
Practice Address - Phone:847-450-6096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070016228225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist