CHAD HATAYAMA

MIDWEST PCW PT LLC

Dr CHAD HATAYAMA is a male medical professional, specializing in Physical Therapy. He graduated in 1995.

Contact

MIDWEST PCW PT LLC

849 S ROUTE 51
FORSYTH
IL
625358807

Tel: 2178642085

CHAD HATAYAMA Information

Npi 1639424203
Pac Id 1759605462
Professional Enrollment Id I20150305002268
Last Name HATAYAMA
First Name CHAD
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1995
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MIDWEST PCW PT LLC
Group Practice Pac Id 3779807482
Number Of Group Practice Members 7
Line 1 Street Address 849 S ROUTE 51
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FORSYTH
State IL
Zip Code 625358807
Phone Number 2178642085
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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