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

Individual provider Physical Therapist · NPI 1386786432

Joseph Donayre Fadullon, PHYSICALTHERAPIST is a Physical Therapist in Bolingbrook, Illinois. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

386 Clubhouse St
Bolingbrook, IL 60490-2119
Phone: (906) 748-0183
Fax: (630) 759-6873
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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 5501007885 (MI)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 5501007885 (MI)

Record details

NPI number1386786432
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESAugust 20, 2007

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