Basic Information
| Provider Information | |||||||||
| NPI: | 1336112218 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KAJTSA | ||||||||
| FirstName: | ANGELA | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1900 OGDEN AVE | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | AURORA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605044273 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309786218 | ||||||||
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| Practice Location | |||||||||
| Address1: | 728 E.VETERANS PKWY. | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | YORKVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605601095 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309786218 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2006 | ||||||||
| LastUpdateDate: | 02/11/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 070-010482 | IL | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.