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Organization
NEWSOME PHYSICAL THERAPY NETWORK
Active
Organization
NEWSOME PHYSICAL THERAPY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA HATZL (BILLING AND COLLECTIONS SUPERVISOR)
(815) 744-4770
Entity
Organization
Contact information
Practice address
920 ESSINGTON RD, JOLIET, IL 60435-2859
(815) 744-4770
(815) 744-1845
Mailing address
920 ESSINGTON RD, JOLIET, IL 60435-2859
(815) 744-4770
(815) 744-1845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
225X00000X
Occupational Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146636
PTAN
IL
Enumeration date
02/20/2007
Last updated
09/09/2011
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