Individual
BRYAN PIANTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12004 S ROUTE 59 UNIT 100, PLAINFIELD, IL 60585-5108
(630) 967-2000
(815) 676-2594
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
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
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