Provider Demographics
NPI:1124913124
Name:DRYONASPT PLLC
Entity type:Organization
Organization Name:DRYONASPT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YONAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TEKESTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:773-503-7657
Mailing Address - Street 1:3331 W PRATT AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3851
Mailing Address - Country:US
Mailing Address - Phone:773-503-7657
Mailing Address - Fax:
Practice Address - Street 1:3331 W PRATT AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3851
Practice Address - Country:US
Practice Address - Phone:773-503-7657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy