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

Leonard Kevyn Banogon Ferolin

Individual provider Physical Therapist · NPI 1396371811

Leonard Kevyn Banogon Ferolin is a Physical Therapist in Private Practice in Joliet, Illinois. Qualified in 2018, 8 years ago. Practices with Athletic and Therapeutic Institute of Bourbonnais, LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone: (630) 967-2000
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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 070024838 (IL)

Record details

NPI number1396371811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 16, 2020
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Athletic And Therapeutic Institute Of Bourbonnais, Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Joliet