Provider Demographics
NPI:1730224023
Name:RYLANDER, TIMOTHY (MPT)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:RYLANDER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 N YORK RD STE 11
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3561
Mailing Address - Country:US
Mailing Address - Phone:630-819-8384
Mailing Address - Fax:630-468-0605
Practice Address - Street 1:777 N YORK RD STE 11
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3561
Practice Address - Country:US
Practice Address - Phone:630-819-8384
Practice Address - Fax:630-468-0605
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070014927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist