Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angelo Miranda Dizon, PT

Individual provider Physical Therapist · NPI 1093750408

Angelo Miranda Dizon, PT is a Physical Therapist in Private Practice in Glenview, Illinois. Qualified in 2000, 26 years ago. Practices with North Shore Sports Medicine and Orthopaedic Center Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1714 Milwaukee Ave
Glenview, IL 60025
Phone: (847) 699-6810
Fax: (847) 699-6545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070012401 (IL)

Record details

NPI number1093750408
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 19, 2006
Last updated in NPPESNovember 16, 2011
Mailing address1714 Milwaukee Av, Glenview, IL 60025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice North Shore Sports Medicine And Orthopaedic Center Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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