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

Mr. Nico Madjus Razalo

Individual provider Physical Therapist · NPI 1619539053

Mr. Nico Madjus Razalo is a Physical Therapist in Chicago, Illinois. Licensed in Illinois, Indiana and New York. Registered with an NPI since 2019.

Licensed in
IL, IN, NY
In the registry since
2019
Specialties on file
3

Practice location Address checks out

4405 N Parkside Ave Apt 1S
Chicago, IL 60630-3355
Phone: (773) 600-4257
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 044272 (NY)
Physical Therapist Taxonomy 225100000X · Licence 023420 (IL)
Physical Therapist Taxonomy 225100000X · Licence 05013119A (IN)

Record details

NPI number1619539053
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2019
Last updated in NPPESJuly 6, 2019

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