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

Michael Decolongon

Individual provider Physical Therapy Assistant · NPI 1932079332

Michael Decolongon is a Physical Therapy Assistant in Morton Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

9000 Waukegan Rd Ste 100
Morton Grove, IL 60053-2128
Phone: (847) 779-6050
Fax: (847) 929-1167
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 160-010562 (IL)

Record details

NPI number1932079332
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

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