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PHYSIOMED, SC
NPI 1962599332
Specialist in St Charles, IL

Active since October 06, 2006
1601 E MAIN ST UNIT D, ST CHARLES, IL 60174(630) 377-7505 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Physiomed, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSIOMED, SC (NPI 1962599332) is a healthcare organization registered as a specialist in St Charles, Illinois and active in the NPI registry since October 2006. The organization lists Ralph De Jesus, President, as its authorized official.

NPPES Registry Identity

NPI1962599332
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHYSIOMED, SC
Location Address1601 E MAIN ST UNIT DSt Charles, IL 60174-2387
Mailing Address1910 Waukegan RdGlenview, IL 60025-1714 · (847) 998-1414
Phone(630) 377-7505
Organization SubpartNo
Authorized OfficialRalph De JesusPresident · (847) 998-1414
Enumeration DateOctober 6, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1962599332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedChiropractorTaxonomy 111N00000X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is PHYSIOMED, SC's NPI number?

The NPI number assigned to this healthcare provider is 1962599332, enumerated as an "organization" on October 06, 2006.

Where is the provider located?

The provider is located at 1601 E MAIN ST UNIT D ST CHARLES, IL 60174 and the phone number is (630) 377-7505.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.