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

Daniel Matundan

Individual provider Physical Therapy Assistant · NPI 1245946037

Daniel Matundan is a Physical Therapy Assistant in Lisle, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

1019 School St
Lisle, IL 60532-1870
Phone: (630) 315-8800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.009046 (IL)

Record details

NPI number1245946037
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address1719 Paul Ave, Glendale Hts, IL 60139-2695

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