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

Giancarlo Bonifazi, PT

Individual provider Physical Therapist · NPI 1043686488

Giancarlo Bonifazi, PT is a Physical Therapist in Private Practice in Melrose Park, Illinois. Qualified in 2015, 11 years ago. Practices with Athletic and Therapeutic Institute of Naperville, LLC, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
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

1360 Winston Plz
Melrose Park, IL 60160-1508
Phone: (708) 483-0072
Fax: (708) 551-3982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Devon Ave Unit B, Park Ridge, IL 60068-4760 — (847) 292-4710

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070021629 (IL)

Record details

NPI number1043686488
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Athletic And Therapeutic Institute Of Naperville, Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Melrose Park