Individual
BRYAN PIANTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05008830A
IN
225100000X
Physical Therapist
Primary
070015015
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622333
BLUE CROSS BLUE SHIELD
IL
01
—
7454077
AETNA
IL
01
—
P01055667
MEDICARE RAILROAD
IL
Enumeration date
07/26/2006
Last updated
08/22/2025
Update your record
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